Prevalence of uterine defects in habitual abortion patients attended on at a university health service in Brazil.

OBJECTIVES

Assessment of the prevalence and types of uterine defects in patients with recurrent pregnancy loss (RPL) through hysteroscopy (HTC).

PATIENTS AND

METHODS

Sixty non pregnant patients with history of three or more consecutive spontaneous abortions were evaluated through HTC. The findings were separated into three groups: synechias, polypoids lesions (endometrial polyps and submucous myomas), and alterations of the cavity shape (mullerian anomalies). The findings were gathered and tabulated according to the presence of each defect.

RESULTS

Uterine anomalies were observed in 23 (38.3%) patients, with 16 (26.7%) synechias, 3 (5.0%) polypoids lesions and 8 (13.3%) shape alterations.

CONCLUSIONS

The results obtained here suggest that the uterine factor has high prevalence in patients with a RPL history, and for this reason it should be systematically assessed in patients with a RPL history.