“See and treat” hysteroscopy after missed abortion

Abstract

A prospective study was conducted on the incidence of intrauterine pathology after missed abortion diagnosed and treated by hysteroscopy. A hysteroscopy was performed in 100 women four to 12 weeks after a dilatation and curettage for missed abortions. Uterine malformations were found in 12 patients, intrauterine adhesions in seven and submucous myoma in two cases. As a side finding four cases of asymptomatic retained products of conception were found. Most cases of the intrauterine pathology were treated instantly by hysteroscopy, “see and treat” regimen was preferred. Post-missed abortion-hysteroscopy is a simple and useful method for early diagnosis and treatment of congenital and acquired intrauterine pathology.

Key words::

• Hysteroscopy
• missed abortion
• uterine malformation
• myoma
• adhesions

Acknowledgements

This work was supported by a grant IGA NS 9798-4 from Ministry of Health of the Czech Republic and Grant Agency of the Ministry of Health of the Czech Republic, grant NR 10576-3/2009.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.