Abstract

ULTRASOUND SCREENING FOR CONGENITAL UTERINE ANOMALIES

Bushra Toman Oleiwi* and Angham Mohammed Ali Darweesh

Abstract

The aim of this study was to investigate the prevalence of congenital uterine anomalies in 1046 women attending gynecological ultrasound clinics for a variety of indications. Using three‐dimensional ultrasound, anomalies were found in 55 women (5.4%), including 32 (3.1%) with an arcuate uterus and 23 (2.3%) with major anomalies. The prevalence of uterine anomalies was similar to the findings in women undergoing elective sterilization but lower than in studies of women with recurrent miscarriage. The true prevalence of congenital uterine anomalies in the general population is not known; previous studies reporting on uterineanomalies examined women with a history of infertility or recurrent miscarriage. One of the reasons for this pre‐selection of study populations was the invasive nature of the tests for the examination of the uterus including hysterosalpingography, hysteroscopy, and laparoscopy. Three‐dimensional ultrasound, that has recently been introduced into clinical practice, enables noninvasive and accurate diagnosis of congenital uterine anomalies.[1] We used this new technique to determine the prevalence of congenital anomalies in women attending gynecological ultrasound unit for a variety of indications. Women with a history of miscarriage or miscarriage and infertility have higher prevalence of congenital uterine anomalies compared with the unselected population.

Keywords: Congenital uterine anomalies, prevalence, miscarriage, preterm, uterus.