Hysteroscopic findings in women with two and with more than two first-trimester miscarriages are not significantly different

• Verfasst von: Bohlmann, Michael K. [VerfasserIn]
• Verfasst von: Wolff, Michael von [VerfasserIn]
• Verfasst von: Luedders, Doerte W. [VerfasserIn]
• Verfasst von: Beuter-Winkler, Petra [VerfasserIn]
• Verfasst von: Diedrich, Klaus [VerfasserIn]
• Verfasst von: Hornemann, Amadeus [VerfasserIn]
• Verfasst von: Strowitzki, Thomas [VerfasserIn]
• Titel: Hysteroscopic findings in women with two and with more than two first-trimester miscarriages are not significantly different
• Verf.angabe: Michael K Bohlmann, Michael von Wolff, Doerte W Luedders, Petra Beuter-Winkler, Klaus Diedrich, Amadeus Hornemann, Thomas Strowitzki
• E-Jahr: 2010
• Jahr: 24 April 2010
• Umfang: 7 S.
• Fussnoten: Gesehen am 02.02.2023
• Titel Quelle: Enthalten in: Reproductive biomedicine online
• Ort Quelle: Cambridge : Elsevier, 2000
• Jahr Quelle: 2010
• Band/Heft Quelle: 21(2010), 2 vom: Aug., Seite 230-236
• ISSN Quelle: 1472-6491
• DOI: doi:10.1016/j.rbmo.2010.04.016
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: acquired
• Sach-SW: congenital
• Sach-SW: hysteroscopy
• Sach-SW: recurrent miscarriages
• Sach-SW: uterine anomaly
• K10plus-PPN: 1833043855

Abstract

The purpose of this study was to analyse hysteroscopic results in patients with recurrent miscarriages and to compare the frequency of uterine anomalies in women with a history of exactly two and with more than two consecutive miscarriages. A retrospective analysis of 206 patients undergoing hysteroscopy for repeated early pregnancy losses was performed at two university centres. Late miscarriages were excluded, terminations of pregnancy were not counted. Eighty-seven patients had suffered from exactly two early miscarriages and 119 from more than two. Both groups were comparable with respect to age at admission (32.95±4.46 versus 34.06±5.02years) and at first miscarriage (30.43±4.24 versus 29.08±5.38years). The prevalence of acquired (adhesions, polyps, fibroids) and congenital uterine anomalies (septate or bicornuate uterus, etc.) did not differ significantly (acquired: 28.7 versus 27.7%; congenital: 9.2 versus 16.8%). The rates of uterine anomalies did not differ significantly overall (36.8 versus 42.9%). In conclusion, uterine anomalies are frequently found in patients with two and with more than two early miscarriages. Due to the high rate of anomalies, their risk for adverse pregnancy outcome and a possible therapeutic approach, hysteroscopy might be a diagnostic option even after two early miscarriages.