<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0300-9041</journal-id>
<journal-title><![CDATA[Ginecología y obstetricia de México]]></journal-title>
<abbrev-journal-title><![CDATA[Ginecol. obstet. Méx.]]></abbrev-journal-title>
<issn>0300-9041</issn>
<publisher>
<publisher-name><![CDATA[Federación Mexicana de Colegios de Obstetricia y Ginecología A.C.]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0300-90412025000900361</article-id>
<article-id pub-id-type="doi">10.24245/gom.v93i9.321</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Hallazgos histeroscópicos en pacientes con infertilidad]]></article-title>
<article-title xml:lang="en"><![CDATA[Hysteroscopic findings in patients with infertility.]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Izquierdo de la Cruz]]></surname>
<given-names><![CDATA[Zelma Zuleima]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Castrellón]]></surname>
<given-names><![CDATA[Hugo Xicotencatl]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez Jiménez]]></surname>
<given-names><![CDATA[Silvia Julieta]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pérez López]]></surname>
<given-names><![CDATA[José del Carmen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Urquía Figueroa]]></surname>
<given-names><![CDATA[Carmen Marcela]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Martínez-Hernández]]></surname>
<given-names><![CDATA[Clara Magdalena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Hospital Regional de Alta Especialidad de la Mujer  ]]></institution>
<addr-line><![CDATA[Villahermosa Tabasco]]></addr-line>
<country>México</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2025</year>
</pub-date>
<volume>93</volume>
<numero>9</numero>
<fpage>361</fpage>
<lpage>366</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_arttext&amp;pid=S0300-90412025000900361&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_abstract&amp;pid=S0300-90412025000900361&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.mx/scielo.php?script=sci_pdf&amp;pid=S0300-90412025000900361&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  OBJETIVO: Describir y clasificar los hallazgos histeroscópicos más comunes en pacientes con infertilidad y evaluar la repercusión de las alteraciones en los desenlaces reproductivos.  MATERIALES Y MÉTODOS: Estudio observacional, descriptivo, retrospectivo y transversal efectuado en pacientes atendidas entre junio del 2021 y abril del 2025 en el servicio de mínima invasión y biología de la reproducción del Hospital Regional de Alta Especialidad de la Mujer en Villahermosa, Tabasco. Variables de estudio: edad, tipo de infertilidad, comorbilidades, agente infeccioso, hallazgos histeroscópicos, procedimientos y ultrasonidos previos y posteriores.  RESULTADOS: Se evaluaron 65 pacientes con diagnóstico de infertilidad y límites de edad de 30 y 39 años (67.7%) a quienes se practicó una histeroscopia. Se encontraron 45 de 65 pacientes con infertilidad primaria y 20 de 65 con infertilidad secundaria. Se encontró obesidad en 39 de 65 pacientes y enfermedades infecciones en 32 de 65. Ureaplasma sp fue el agente infeccioso más frecuente. Se identificaron anormalidades en la cavidad uterina en 36 de los casos analizados. Las alteraciones uterinas más frecuentes fueron pólipos endometriales (en 10 de 65) sinequias uterinas (8 de 65) y útero arqueado (6 de 65). El endometrio engrosado y pared uterina granulosa solo se encontró en un caso. De las 65 pacientes analizadas, a 37 se les hizo algún procedimiento de histeroscopia de consultorio.  CONCLUSIONES: La histeroscopia es un procedimiento ginecológico útil para evaluar pacientes con infertilidad previo a un tratamiento; es un recurso ambulatorio, de fácil ejecución, mínimamente doloroso y con un bajo riesgo de complicaciones.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  OBJECTIVE: To describe and classify the most common hysteroscopic findings in infertile patients and evaluate their impact on reproductive outcomes.  METHODS AND MATERIALS: This observational, descriptive, retrospective, cross-sectional study was conducted on patients treated between June 2021 and April 2025 in the Minimally Invasive and Reproductive Biology Department at the Regional Specialized Women&amp;apos;s Hospital in Villahermosa, Tabasco. The study variables were age, type of infertility, comorbidities, infectious agent, hysteroscopic findings, and previous and subsequent procedures and ultrasounds.  RESULTS: Sixty-five patients diagnosed with infertility, aged 30-39 years (67.7%), and who underwent hysteroscopy were evaluated. Of these patients, 69.2% had primary infertility, and 30.8% had secondary infertility. Obesity was present in 60%, and infectious diseases were present in 48.5% of patients. Ureaplasma sp. was the most frequent infectious agent. Abnormalities in the uterine cavity were identified in 55.4% of analyzed cases. The highest percentages of uterine abnormalities corresponded to endometrial polyps (15.4%), uterine synechiae (12.3%), and an arcuate uterus (9.2%). The lowest percentage (1.5%) was recorded for a thickened endometrium and a granular uterine wall. Of the 65 patients analyzed, 37 underwent office hysteroscopy.  CONCLUSIONS: Hysteroscopy is a useful gynecological procedure for evaluating infertile patients prior to treatment. It is an outpatient procedure that is easy to perform, minimally painful, and has a low risk of complications.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[Histeroscopia]]></kwd>
<kwd lng="es"><![CDATA[anomalías uterinas]]></kwd>
<kwd lng="es"><![CDATA[útero]]></kwd>
<kwd lng="es"><![CDATA[infertilidad]]></kwd>
<kwd lng="es"><![CDATA[neoplasias uterinas]]></kwd>
<kwd lng="es"><![CDATA[endometrio]]></kwd>
<kwd lng="es"><![CDATA[obesidad]]></kwd>
<kwd lng="es"><![CDATA[sinequias uterinas]]></kwd>
<kwd lng="es"><![CDATA[útero arqueado]]></kwd>
<kwd lng="es"><![CDATA[pólipos endometriales]]></kwd>
<kwd lng="en"><![CDATA[Hysteroscopy]]></kwd>
<kwd lng="en"><![CDATA[Uterine anomalies]]></kwd>
<kwd lng="en"><![CDATA[Uterus]]></kwd>
<kwd lng="en"><![CDATA[Infertility]]></kwd>
<kwd lng="en"><![CDATA[Uterine neoplasms]]></kwd>
<kwd lng="en"><![CDATA[Endometrium]]></kwd>
<kwd lng="en"><![CDATA[Obesity]]></kwd>
<kwd lng="en"><![CDATA[Uterine synechiae]]></kwd>
<kwd lng="en"><![CDATA[Arcuate uterus]]></kwd>
<kwd lng="en"><![CDATA[Endometrial polyps]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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