Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss | ||||
| International Journal of Medical Arts | ||||
| Article 8, Volume 2, Issue 3, July 2020, Page 542-546 PDF (275.24 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ijma.2020.25674.1110 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Atef Farag  1; Mahmoud Salah Mahmoud 2; Rashed Mohamed Rashed3
| ||||
| 1Department of Obstetrics and Gynecology El-Mahalla General Hospital, Ministry of Health, Egypt. | ||||
| 2Department of Obstetrics and Gynecology; Damietta Faculty of Medicine, Al-Azhar University, Egypt. | ||||
| 3Department of Obstetrics and Gynecology; Damietta Faculty of Medicine, Al-Azhar University, Egypt. | ||||
| Abstract | ||||
| Background: Recurrent pregnancy loss [RPL] is one of the most frustrating and difficult areas in reproductive medicine. Aim of the work: This prospective study aims to evaluate the roles of ultrasound and hysteroscopy in recurrent pregnancy loss. Patients and Methods: A total of 100 patients who had a history of two or more RPL had been included. All patients had been subjected to complete history taking, thorough clinical and gynecological examination, three-dimensional [3D] ultrasound and hysteroscopy. Results: The mean age was 27.43 years. In addition, 45% of the included females had two previous RPL while 55% of them had three or more RPL. Hysteroscopy revealed normal findings in 80 cases [80%], endometrial polyp in 7%, submucous myoma in 3%, uterine septum in 6%, and uterine synechiae in 4%. On the other side, three-dimensional ultrasound [3D US], normal findings had been detected in 83 cases [83%], endometrial polyp in 6%, submucous myoma in 3%, uterine septum in 5%, bicornuate uterus in 1%, and uterine synechiae in 2%. There was a statistically significant correlation between the two techniques in detection of the uterine findings in cases of RPL [p =0.001]. Conclusion: Three-dimensional ultrasonography is the best tool for diagnosis of different types of Mullerian duct anomalies whereas hysteroscopy is better in diagnosis of intracavitary lesions. | ||||
| Keywords | ||||
| Pregnancy loss; Three-D ultrasound; Hysteroscopy; Infertility; Evaluation | ||||
|
Statistics Article View: 618 PDF Download: 414 |
||||
