Structured Reporting of Diagnostic Hysteroscopy Findings in Women with Reproductive Disorders: An ESGE-ESHRE-IFFS International Consensus.

BACKGROUND: Despite its widespread use in women with reproductive disorders, no standardised framework currently exists for reporting of hysteroscopic findings. This lack of uniformity may limit the utility of the procedure and contribute to substantial heterogeneity among operators and centres. As a result, the reproducibility of hysteroscopy is limited, making it difficult to conduct robust studies that define its prognostic value in specific patient subgroups. OBJECTIVES: To develop an international consensus on the structured reporting of diagnostic hysteroscopy findings in women with reproductive disorders. METHODS: A dedicated working group from the European Society for Gynaecological Endoscopy (ESGE), European Society of Human Reproduction and Embryology (ESHRE), and International Federation of Fertility Societies (IFFS) collaborated to develop a consensus for comprehensive structured reporting of diagnostic hysteroscopy findings in women with reproductive problems. This consensus paper focuses on grouping diagnostic hysteroscopic findings, structuring their reporting, and adopting standardised terminology for women with reproductive disorders. The virtual Nominal Group Technique, a structured consensus-building method, was adopted to ensure equal contribution from all members in the development of the final consensus. MAIN OUTCOME MEASURES: A consensus for comprehensive structured reporting of diagnostic hysteroscopy findings in women with reproductive problems. RESULTS: This collaborative document by ESGE, ESHRE and IFFS provides the first detailed framework for structured reporting of diagnostic hysteroscopy findings in women with reproductive disorders. The document provides a structured reporting of hysteroscopic findings into five sections, each systematically capturing patient characteristics, procedural findings, and pathological observations as follows: patient characteristics, findings from the vagina, cervix, uterine cavity, endometrium and tubal ostia. CONCLUSIONS: The standardised reporting of hysteroscopic findings promotes consistent data collection across centres and could help inform research and exchange of clinical experience, enhancing the value of hysteroscopy in fertility evaluation. This report could be used as a validation tool for further research. WHAT IS NEW?: This collaborative document by ESGE, ESHRE and IFFS provides the first detailed structured reporting of diagnostic hysteroscopy findings in women with reproductive disorders.