value of hysteroscopy and hysterosalpingography in the evaluation of recurrent pregnancy losses

ABSTRACT

Fifty cases of repeated second trimester pregnancy losses were subjected to both hysterosalpingographic and hysteroscopic examination and the findings of both methods classified and compared to each other. Seventeen cases were diagnosed by both methods to have different types of congenital uterine anomalies. The two methods showed differences only In the diagnosis of the extent of the lesion. Four cases were diagnosed by hysteroscope to have intrauterine adhesions. This diagnosis was only presumptive when hysterosalpingography was used as the sole method of diagnosis. Three cases of submucous myomas were diagnosed by the hysteroscope but in only one case was the hysterosalpingogram shown to have a submucous fibromyoma. As regards patulous internal os, hysteroscopy was only a subjective method while hysterogram was an objective one