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  • A normal uterine cavity and endometrial lining is necessary in order to conceive and maintain a pregnancy. Problems of a woman's uterine cavity and endometrial lining are another common cause of infertility. These problems can take the form of :

    Uterine fibroids: Large or multiple fibroids can be present in the uterus. Some of these may be submucous – those which push into the uterine cavity causing fertility problems or miscarriages.

    Uterine polyps : A polyp is an overgrowth of tissue in the lining (endometrium) of the uterus. Many polyps are very small (a few millimeters in diameter) and do not pose problems. However, large polyps or multiple polyps can interfere with reproduction by causing infertility, or by increasing risks for miscarriage.

    Intra-uterine adhesions : The condition of scarring within the endometrial cavity of the uterus is often referred to as Asherman's Syndrome. Sections of scar tissue that can cause absent periods and infertility. Intrauterine adhesions can be cut during hysteroscopy to improve chances for embryo implantation (pregnancy) and to reduce the risk of miscarriage.

    Uterine malformations : Uterine malformations are structural defects of the uterus from birth that are only discovered later in life. They may be bicornuate uterus, uterine septum or uterus didelphys. Hysteroscopy and other methods, such as a hysterosalpingogram (HSG) and ultrasound are useful in diagnosing and correcting these defects.