"Chromohysteroscopy" for evaluation of endometrium in recurrent miscarriage.
OBJECTIVE
"Chromoendoscopy" results in 34 recurrent miscarriage (MR) patients in whom conventional hysteroscopy did not show any apparent endometrial pathology.


METHODS
5 ml of 1% methylene blue dye was introduced through the hysteroscopic inlet.


RESULTS
The study group was classified according to the staining characteristics. Group I included 19 patients in whom focal dark staining was observed. Group II included 15 patients in whom diffuse light blue staining was observed. There was no significant difference between the two groups in age, smoking, status, BMI, number of miscarriages and in mean gestational age of the miscarriages. Time to hysteroscopy after the last miscarriage was shorter in Group I (63.9 vs 95.3 days). Then, the study group was classified according to the histopathology result. Group I included ten cases of endometritis while Group II included 24 cases with a normal histopathology. The mean number of miscarriages was higher in Group I (3.4 vs 2.5).


CONCLUSIONS
Chromohysteroscopy improves the efficacy of hysteroscopy in RM cases and is warranted after three miscarriages in two cycles time.
Küçük
T
T
Department Obstetrics and Gynecology, GATA School of Medicine, Ankara, Turkey. tansukucuk@gmail.com
Deveci
S
S
D000026:Abortion, Habitual / Q000175:diagnosis / Q000473:pathology*; D000328:Adult; D004717:Endometrium / Q000473:pathology*; D005260:Female; D005865:Gestational Age; D006801:Humans; D015907:Hysteroscopy / Q000379:methods*; D008751:Methylene Blue; D011247:Pregnancy
D008751:Methylene Blue