Document Type : Original Article
Authors
1
Professor of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
2
Assistant Professor of Obstetrics and Gynecology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt
3
MSc, Obstetrics and Gynecology, Police Authority Hospital, Cairo, Egypt
https://doi.org/10.21608/aimj.2025.446674
Abstract
Background: Because its cause is frequently unclear, recurrent pregnancy loss (RPL) ranks among reproductive medicine's most challenging and distressing subspecialties. In 10–50% of cases, uterine variables (both inherited and acquired) have a role. When it comes to assessing the endometrial cavity, hysteroscopy is considered the gold standard due to its ability to directly observe the endometrium.
Aim: The purpose of this study is to analyze the efficacy of hysteroscopy in detecting uterine abnormalities in women who experience repeated miscarriages.
Subjects and methods: From October 2023 through April 2024, one hundred women who experienced recurrent first-trimester miscarriages were included in this prospective cohort study at Al-Hussein University Hospital's hysteroscopy Unit, Obstetrics and Gynaecology Department. Diagnostic hysteroscopy was performed on all patients after their periods had ended, typically between three and six months after the abortion.
Results: In 53.0% of cases where first-trimester miscarriages (MRs) occurred again, an abnormal hysteroscopic examination was detected. Uterine septum was the most prevalent congenital uterine abnormality, occurring in 20% of cases. Uterine polyp(s) were the most common acquired abnormality, occurring in 11% of cases.
Conclusion: It is possible to do hysteroscopy as an outpatient procedure without numbing the patient, and the procedure is safe, sensitive, and dependable.
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