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Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss

Article

Last updated: 04 Jan 2025

OverviewSimilar Items

Subjects

-

Tags

Gynecology and Obstetrics

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. 

DOI

10.21608/ijma.2020.25674.1110

Keywords

pregnancy loss, Three-D ultrasound, Hysteroscopy, Infertility, Evaluation

Authors

First Name

Mohamed

Last Name

Farag

MiddleName

Atef

Affiliation

Department of Obstetrics and Gynecology El-Mahalla General Hospital, Ministry of Health, Egypt.

Email

free.69310.free@gmail.com

City

El_Mahalla

Orcid

-

First Name

Mahmoud

Last Name

Mahmoud

MiddleName

Salah

Affiliation

Department of Obstetrics and Gynecology; Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

dr.m.s.rady@gmail.com

City

-

Orcid

0000-0002-5858-9263

First Name

Rashed Mohamed

Last Name

Rashed

MiddleName

-

Affiliation

Department of Obstetrics and Gynecology; Damietta Faculty of Medicine, Al-Azhar University, Egypt.

Email

rmrashed70@yahoo.com

City

-

Orcid

-

Volume

2

Article Issue

3

Related Issue

16043

Issue Date

2020-07-01

Receive Date

2020-03-18

Publish Date

2020-07-01

Page Start

542

Page End

546

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 2_Issue 3_Pages 542-546.pdf

PDF . 281.8kB

Link

https://ijma.journals.ekb.eg/article_92260.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=92260

Order

8

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss

Details

Type

Article

Created At

22 Jan 2023