Abstract

To determine whether occult abortion is a frequent cause of infertility. Prospective observational clinical study. Hospital based infertility clinic, serving as the only primary infertility care facility to a population of 250,000 people. 102 subsequent infertility patients. Ultrasound ovulation detection, timed hCG determinations. Proportion of patients with serum hCG levels > 2.0 mIU/mL (> 2.0 IU/L) on dyas 12 or 13 after ultrasound-proven ovulation with subsequent appearance of the menstrual period before or at postovulation day 14. In 18 of 102 patients increased hCG was found. All these patients became clinically pregnant (9 spontaneous abortions, 9 ongoing pregnancies). No occult abortion occurred (95% confidence interval 0–4%). Occult abortion is not a frequent cause of infertility in an unselected population.

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