There have been numerous advances in the area of assisted reproduction. Among the various reasons of implantation failure, intrauterine lesions play an important role.

The aim of the present study is to evaluate the role of hysteroscopy prior to any assisted reproductive technique in patients who had previous one or more failed IVF cycle(s).

It is a retrospective study of 248 women who attended our infertility clinic over a period of 18 months, who had a variable number of failed IVF cycles previously.

Out of the 248 women studied, in 62 (25%) patients, intrauterine pathology was detected, which when rectified by hysteroscopy gave a considerable increase in pregnancy rate.

According to this study it can be concluded that evaluating the uterine cavity is an important step before any assisted reproductive procedure.