الفهرس 
IntroductionOnly 14 pages are availabe for public view
Abstract
O
utpatient hysteroscopy, also known as office hysteroscopy, is an established diagnostic tool (Pinto, 2011). The procedure involves mini authorized endoscopic device to visualize and examine the uterine cavity, without the need for operating room facilities or anesthesia (Clark and Gupta, 2002).
Recurrent pregnancy loss (RPL) is one of the most frustrating and difficult areas in reproductive medicine because the etiology is often unknown and there are few evidence-based diagnostic and treatment strategies. Studies on the etiology, evaluation, and management of RPL are often flawed (Christiansen et al., 2005).
Uterine factors (Acquired and congenital) are responsible for 10 to 50 percent of RPL (Hill, 1999).
Congenital uterine anomalies are present in 10 to 15 percent of women with RPL versus 7 percent of all women. Pregnancy loss may be related to impaired uterine distention or abnormal implantation due to decreased vascularity in a septum, increased inflammation, or reduction in sensitivity to steroid hormones (Devi et al., 2006).
This stuy aimed to evaluate the role of hysteroscopy in the detection of possible uterine causes of recurrent first trimesteric miscarriages.
- 164 women with recurrent first trimesteric miscarriages, who were referred to Early Cancer Detection Unite (ECDU) to undergo diagnostic hysteroscopy at Ain Shams University maternity Hospital for various complaints, participated in this study.
- We found that hysteroscopy has excellent diagnostic value in the assessment of uterine cavity abnormalities, and that abnormal hysteroscopic study found in 53.0% of cases with recurrent first trimesteric miscarriages.
- Acquired uterine abnormalities found in 27.4% of cases, it is more common than congenital uterine anomalies who found in 25.6% of cases.
- The most common congenital uterine anomaly in our cases was the uterine septum found in 20% of cases, while the most common acquired abnormality was uterine polyp(s), who found in 11% of cases
- 20% of these anatomical abnormalities were corrected hysteroscopically.