Recurrent miscarriage defined as two or more consecutive pregnancy losses before the 20th week of gestation. Uterine abnormalities are estimated to play a causal role in a substantial number of couples seeking treatment for recurrent miscarriage. Hysteroscopy offers great assistance for the interpretation of uncertain findings from other diagnostic methods. Furthermore it enables direct visualization of cervical canal, uterine cavity and increase the precision and accuracy in the diagnosis of intrauterine abnormalities. Office hysteroscopy now is an established step in the diagnostic work up of cases with recurrent miscarriage.