Validity of Hysteroscopy in Detection of Uterine Cavity Abnormalities in Women with Recurrent Pregnancy Loss
Journal Title: Journal of Gynecological Research and Obstetrics - Year 2016, Vol 2, Issue 1
Abstract
Objective: To explore the validity of hysteroscopy in detection of uterine cavity abnormalities in women with recurrent pregnancy loss. Patients and Methods: This was a prospective study performed at Ain Shams University Maternity Hospital, over a 3-year period, between Jan 2013 and Jan 2016, and included 200 women who were presented for evaluation of the cause of repeated early pregnancy loss and scheduled for hysteroscopy for assessment of any uterine cavity abnormality. Participant ages ranged from 18 to 35 years. A written informed consent was obtained from all women before participation. Results: the mean age was 29.5 ± 3.5, the mean number of previous abortion 4.1 ± 1.1, the mean number of 1st trimesteric abortion was 2 with range and the mean number of 2nd trimesteric abortion was 2. In this study, 81 % of patients were nullipara. It was also found that hysteroscopic findings were found in 41.5%. Uterine anomalies was present in 14%, including septate uterus and intrauterine adhesion (IUAs) were present in 11 %. Endometrial polyps were present in 3.5%, bicornute uterus in 3.5%, unicornuate uterus in 3.5% while submucous myomas were present in 6.5%. It was found that 17% need hysterscopic intervention including 7.5% need septectomy 4.5% need adhesiolysis, 2.5% need myomectomy while 2.5% need polypectomy. Conclusions: Structural uterine abnormalities were detected in nearly 41.1% of patients with recurrent miscarriages, hysteroscopy has much to offer in the diagnosis of uterine cavity abnormalities, for this reason it should be included in assessment of patients with a history of recurrent miscarriage.
Authors and Affiliations
M Elmandooh
Keywords
Related Articles
- EP ID EP337036
- DOI 10.17352/jgro.000012
- Views 97
- Downloads 0
The Expression of Apolipoprotein A1 on Pregnancy Outcome in Women with Polycystic Ovary Syndrome Compared to Fertile Women: A Cross-Sectional Study
Objective: To explore the level of apolipoprotein A1 expression in human endometrial tissues in women with polycystic ovary syndrome compared to fertile women. Patients and Methods: This was a cross sectional study perf...
Hospital Acquired Obstetrical Infections
“One drop of its water reflects the whole ocean.” The December 2, 2015 issue of the “American Medical Association Morning Rounds” reminded me to this old dictum. It announced that as a result of coordinated efforts by se...
Use of Polyglycolic Acid Mesh in Extreme Preterm Premature Rupture of Membranes (PPROM)
Introduction: Extreme Preterm Premature Rupture of Membranes (PPROM) is a condition that increases maternal, fetal and neonatal morbidity and mortality to a large extent. In this study, we aimed at prolonging the gestati...
Reproducibility of Endometrial Volume by VOCAL in the Prediction of Success Rate of IVF/ICSI in Women with Unexplained Infertility
Objective: To explore the role of estimating endometrial volume by Virtual Organ Computer-aided AnaLysis (VOCAL) and it’s correlation with endometrial thickness, on the day of hCG, in prediction of IVF/ICSI success. Pati...
Bacterial Vaginosis: Risk of Adverse Pregnancy Outcome
The reproductive health of a woman is vital not only for her general health, but also for that of her partner and child. Bacterial infections can affect pregnant women from implantation of the fertilized ovum through the...