THE VALUE OF HYSTEROSCOPIC EVALUATION IN PATIENTS WITH PRECLINICAL IN-VITRO FERTILIZATION ABORTIONS

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