Role of hysteroscopy in evaluation of recurrent pregnancy loss

Abstract

Objective: to detect the uterine abnormalities missed in U/S scan and HSG using hysteroscopy, in females presenting with recurrent pregnancy loss &to study hysteroscopic therapuatic potential to that pathology. Methodology: prospective cohort study, conducted in obstetrics & gynecology department of, Beni-suef University Hospital.on one hundred women with recurrent 1st &2nd trimester pregnancy loss recruited for hysteroscopy .A rigid fiberoptic 2.7mm, 0 and 30 degrees angled hysteroscopy along with an operative channel for grasping forceps or scissors were used for both diagnostic and operative indications. The findings, and different types of abnormalities, comparison between<or=3 &>3 cosecutive miscarriage as regarding hysteroscopic findings &impact of the procedure on management were recorded. Results: In this study In the normal hysteroscopy group, 24women (29.3%) achieved a successful ongoing pregnancy without additional treatment, 49 (59.8%) had recurrent miscarriages again, and 4(5%) had persistent secondary infertility .In women who needed and had hysteroscopic correction of a SUA, the number of successful ongoing pregnancies was significantly higher 13 (72.2%) vs (29.3%) in normal group and the number of new abortions significantly was lower than in those who had no pathology 3(16.7%)vs (59.8%) with statistically significance between the 2 groups (p value = 0.002).