الفهرس 
? HysteroscopyOnly 14 pages are availabe for public view
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Abstract
O
ffice hysteroscopic examination is now an established step in the diagnostic work up of cases with abnormal uterine bleeding, infertility, and recurrent miscarriage that can be performed safely and efficiently without anesthesia in most cases.
Hysteroscopy offers great assistance for the interpretation of uncertaine findings from other diagnostic methods. Furthermore, it enable direct visualization of cervical canal, uterine cavity and increase the precision and accuracy in the diagnosis of intrauterine abnormalities.
This study aimed at assessment of the prevalence and types of uterine abnormalities in patients with recurrent pregnancy loss (RPL) through hysteroscopy.
This study was conducted in Ain shams Maternity hospital (outpatient clinic for RPL) during the period between august 2014 and May 2015 and include 200 non-pregnant patients with a history of three or more consecutive unexplained 1st and 2nd trimesteric miscarriages before 20 weeks.
All patients had normal complete blood count, urine analysis and none had positive lupus anticoagulant and anticardiolipin antibodies were negative. All of the parteners had a normal semen analysis, with exclusion of patient with active pelvic infection, viable intrauterine pregnancy.
Regarding to the results of this study the mean age was 30.5(5.7), the mean number of previous abortion 3(3-5) the mean number of 1st trimesteric abortion was 2 with range (2-2) the mean number of 2nd trimesteric abortion was 2 with range (1-2). In this study, 88 % of patients were nullipara.
It was also found that hysteroscopic findings were found in 58.5%. Uterine anomalies was present in 21%, including septate uterus and intrauterine adhesion (IUAs) were present in 12.5 %. Endometrial polyps were present in 8.5%, bicornute uterus in 4.5%, unicornuate uterus in 4.5% while submucous myomas were present in 7.5%.
It was found that 48.5% need hysterscopic intervention including 21% need septectomy 12.5% need adhesiolysis, 6.5% need myomectomy while 8.5% need polypectomy.
The study found that no statistically significant difference between patients with normal hysterscopic finding and patients with abnormal hysterscopic finding as regard age, time of previous abortion and number of previous abortion.
But there was statistically significant as regard number of previous delivery and abnormal HSG.
from the above, its concluded that SUAs were detected in nearly 58.5% of patients with recurrent miscarriages, hysteroscopy has much to offer in the diagnosis of SUAs, for this reason it should be included in assessment of patients with a history of recurrent miscarriage.