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Human Reproduction, Vol. 11, No. 4, pp. 730-731, 1996
© 1996 European Society of Human Reproduction and Embryology

research-article

The value of hysteroscopic evaluation in patients with preclinical in-vitro fertilization abortions

Dov Dicker1, Jacob Ashkenazi, Arie Dekel, Raoul Orvieto, Dov Feldberg, Arie Yeshaya and Zion Ben-Rafael

Department of Obstetrics and Gynecology, Golda Medical Center, Petah Tikva and Sackler School of Medicine, Tel Aviv University Israel

Correspondence: 1To whom correspondence should be addressed

The study was conducted on 144 women who experienced preclinical abortions, i.e. a transitory rise in {beta}-human chorionic gonadotrophin (HCG) without any clinical or sonographic evidence of pregnancy, to identify the relationship between preclinical abortions and intrauterine pathology. Hysteroscopy was performed 1–2 weeks after the decline of {beta}-HCG concentrations to negative values. Intrauterine adhesions were detected in three patients (2.1%), most of these being of the mild type. Concomitant intrauterine abnormalities, mainly uterine septa, were found in 14 (9.7%) cases. We believe that preclinical abortions do not predispose intrauterine adhesions and curettage is superfluous. An incomplete uterine septum seems to be the major factor predisposing this early pregnancy wastage. Hysteroscopy following this condition is an easy and efficient means for both identifying intrauterine pathology and excluding adhesions.

Key words: biochemical pregnancy/early pregnancy wastage/hysteroscopy/intrauterine adhesions/uterine septum


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