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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Autores principales: Mohamed Farag, Mahmoud Mahmoud, Rashed Mohamed Rashed
Formato: article
Lenguaje:EN
Publicado: Al-Azhar University, Faculty of Medicine (Damietta) 2020
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Acceso en línea:https://doaj.org/article/923518de7bf04befb3fa33e2a1e33427
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spelling 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)
institution DOAJ
collection DOAJ
language EN
topic pregnancy loss
three-d ultrasound
hysteroscopy
infertility
evaluation
Medicine (General)
R5-920
spellingShingle 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
description 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 AT mohamedfarag officehysteroscopyversusthreedimensionalultrasoundinassessmentofuterinecavityinrecurrentpregnancyloss
AT mahmoudmahmoud officehysteroscopyversusthreedimensionalultrasoundinassessmentofuterinecavityinrecurrentpregnancyloss
AT rashedmohamedrashed officehysteroscopyversusthreedimensionalultrasoundinassessmentofuterinecavityinrecurrentpregnancyloss
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