POSTABORTION HYSTEROSCOPY: A METHOD FOR THE DIAGNOSIS OF CONGENITAL AND ACQUIRED INTRAUTERINE CAUSES OF ABORTION.

Objective:-Recurrent pregnancy loss is often defined as three or more consecutive pregnancy losses but there are no strict criteria for initiation of investigations after a miscarriage. We evaluated the role of diagnostic hysteroscopy in diagnosis of congenital and acquired intrauterine causes of abortion and the possibility of starting this investigation after one miscarriage. Study design:- 80 patients underwent diagnostic hysteroscopy after one, two or three consecutive abortions or more. Results:-Normal hysteroscopic findings were the most common findings in (52.5%) of the patients, Abnormal hysteroscopic findings were found in 47.5% of patients , congenital uterine anomalies were present in 15% and acquired uterine anomalies in 32.5%. By evaluating the congenital changes in the uterine cavity, the following diagnoses were found, septate uterus (n= 6)(7.4%), subseptate uterus(n=3)(3.8%),and bicornuate uterus(n=3)(3.8%). By considering the acquired anoma?lies, the most frequent diagnoses were: intrauterine adhe?sion (n = 10(12.5%), polyp (n =8)(10%), leiomyoma (n =8)(10%).we did not found any statistically significant difference between the number of miscarriage and pathological finding of diagnostic hysteroscopy. Conclusion:- Postabortion hysteroscopy is a simple and efficient tool in early diagnosis of congenital and acquired intrauterine pathologies especially if done without anesthesia and can be done after the first miscarriage