The Value of Hystersocopy; Ultrasonogrphy and Histopathology in Diagnosis of Chronic Endometritis in Patients with Unexplained Recurrent Spontaneous Abortion

Document Type : Original Article

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The Departments of Obstetrics and Gynecology* and Histopathology**, Faculty of Medicine, Al-Azhar University

Abstract

Abstract
Background: Recurrent Spontaneous Abortion (RSA) defined as the loss of three or more consecutive pregnancies before the 20 weeks of gestation or a fetal weight of less than 500 grams.
Aim of Study: To investigate the role of Chronic En-dometritis (CE) in unexplained RSA and to determine the correlation between hysteroscopic, Doppler ultrasonography and histologic findings of CE in patients with unexplained RSA.
Patients and Methods: This prospective controlled study was conducted in Al-Hussein University Hospital, Al-Azhar University. Forty consecutive patients with unexplained RSA referring to the infertility clinic (from May 2016 till January 2019) were enrolled in this study to investigate the role of CE in RSA. A control group of other twenty fertile women who underwent hysteroscopy due to vaginal bleeding or causes other than RSA and infertility were also included.
Results: Suggested that the measurement of previous hormone levels, blood flow by color Doppler can discriminate endometritis from potentially normal women. The data in our study also suggested that there were significant differences as regards luteal phase disorders.
Conclusion: Chronic endometritis was not incriminated as a cause for repeated first trimestric abortion in patients with repeated unexplained spontaneous abortion

Keywords

The Medical Journal of Cairo University
Volume 87, September
September 2019
Pages 3891-3895

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