EARLY DIAGNOSIS OF CONGENITAL AND ACQUIRE D INTRAUTERINE CAUSES OF ABORTION BY POSTABORTION HYSTEROSCOPY

A prospective study was conducted on the incidence of intrauterine pat hology after abortions diagnosed by post-abortion hysteroscopy. In 80 patients outpatient hysteroscopy was performed 8-12 weeks after a dila tation and currettage for incomplete or missed abortions. Intrauterine pathological changes were found in 40 patients. There were 10 cases o f uterus subseptus/bicornis and 7 of uterus arcuatus, 2 submucous myom a and 1 corpus polyp. Intrauterine adhesions were diagnosed in 20 pati ents. The incidence of intrauterine adhesions was about the same after incomplete abortions and after missed abortions, but in patients with recurrent abortions the incidence was significantly higher than in pa tients after the first abortion (27.8% versus 14.9%). Post-abortion hy steroscopy is a simple and useful method for early diagnosis of congen ital and acquired intrauterine pathology after abortions.