Hysteroscopy as a diagnostic tool in women with recurrent pregnancy loss, a prospective randomized controlled study | ||
| Evidence Based Women's Health Journal | ||
| Articles in Press, Accepted Manuscript, Available Online from 04 May 2021 | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ebwhj.2021.66147.1129 | ||
| Authors | ||
| Attia Mohammed1; Kamal Rageh* 2; Amr Habib1; Ahmed Shaaban1; Mohamed Rushdy1 | ||
| 1Al-Azhar University, faculty of medicine | ||
| 2Al-Azhar university | ||
| Abstract | ||
| Background: Uterine abnormalities, are implicated as one of the causes of recurrent miscarriages, and have been estimated to be diagnosed in as many as 10% to 15% of patients with repeated miscarriages. The present study was designed to assess the value of hysteroscopy in the diagnosis of intra-uterine lesions in women with recurrent pregnancy loss. Design: This is a prospective cohort study which was done in El-Sayed Galal hospital, faculty of medicine, Al-Azhar university after the approved of the research ethics committee, during the period from March 2018 to April 2019 and included 300 patients aged 18 to 40 years with a history of unexplained pregnancy loss prior to 20 weeks of pregnancy Results: 300 patients with history of recurrent pregnancy loss were included in this study, 44% had a normal finding, 14% had intrauterine septum, 2% had bicornuate uterus, 15.3% had endometrial polyp, 0.7% had submucous myoma, 1.3% had tubular cavity, 2% had subseptate uterus, 2% had fundal cupping and 18.7% had intrauterine adhesions. There was statistically significant correlation between the numbers of E&C and different pathological finding, cases with tubular cavity showed the highest mean number of E&C and also there was statistical significant difference between degree of adhesion and number of abortion which the moderate degree associated with highest number of abortion Conclusion: Hysteroscopy has an important role in the diagnosis of causes in women with recurrent pregnancy loss. | ||
| Keywords | ||
| Key Words: Hysteroscopy; Recurrent miscarriage; adhesions | ||
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