Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss
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.
Journal Title:International Journal of Medical Arts
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.