Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss
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 h...
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Al-Azhar University, Faculty of Medicine (Damietta)
2020
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oai:doaj.org-article:923518de7bf04befb3fa33e2a1e334272021-12-02T14:02:00ZOffice Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss2636-41742682-378010.21608/ijma.2020.25674.1110https://doaj.org/article/923518de7bf04befb3fa33e2a1e334272020-07-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_92260_253f6179d04bc6958f9814afab6764f4.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Mohamed FaragMahmoud MahmoudRashed Mohamed RashedAl-Azhar University, Faculty of Medicine (Damietta)articlepregnancy lossthree-d ultrasoundhysteroscopyinfertilityevaluationMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 2, Iss 3, Pp 542-546 (2020) |
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pregnancy loss three-d ultrasound hysteroscopy infertility evaluation Medicine (General) R5-920 |
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pregnancy loss three-d ultrasound hysteroscopy infertility evaluation Medicine (General) R5-920 Mohamed Farag Mahmoud Mahmoud Rashed Mohamed Rashed Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss |
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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. |
format |
article |
author |
Mohamed Farag Mahmoud Mahmoud Rashed Mohamed Rashed |
author_facet |
Mohamed Farag Mahmoud Mahmoud Rashed Mohamed Rashed |
author_sort |
Mohamed Farag |
title |
Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss |
title_short |
Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss |
title_full |
Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss |
title_fullStr |
Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss |
title_full_unstemmed |
Office Hysteroscopy Versus Three-Dimensional Ultrasound in Assessment of Uterine Cavity in Recurrent Pregnancy Loss |
title_sort |
office hysteroscopy versus three-dimensional ultrasound in assessment of uterine cavity in recurrent pregnancy loss |
publisher |
Al-Azhar University, Faculty of Medicine (Damietta) |
publishDate |
2020 |
url |
https://doaj.org/article/923518de7bf04befb3fa33e2a1e33427 |
work_keys_str_mv |
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1718392095205490688 |