ASSESSING UTERINE ANOMALIES AS A CRITICAL FACTOR IN RECURRENT MISCARRIAGES

Background: Recurrent miscarriage is a distressing reproductive problem, and uterine structural anomalies are recognized contributors. Early identification of these anomalies is essential for appropriate management and improvement of future pregnancy outcomes. Objective: To determine the frequency and types of uterine anomalies among women presenting with recurrent miscarriages. Study Design: Descriptive cross-sectional study. Setting: Conducted in a tertiary care gynecology department. Duration of Study: From January 2025 to August 2025. Methods: Eighty women with a history of two or more consecutive pregnancy losses were evaluated. All participants underwent transvaginal ultrasonography to detect uterine anomalies, including septate uterus, arcuate uterus, bicornuate uterus, didelphys uterus, and endometrial polyps, according to established ultrasonographic criteria. Data analysis was performed using SPSS version 27. Descriptive statistics were used to report frequencies, percentages, and mean values. Results: The mean age of the participants was 28.13 ± 5.16 years. More than half of the women (52.5%, n = 42) had experienced more than three miscarriages. Uterine anomalies were detected in 40% of the cohort (n = 32). The most frequent anomalies were a septate uterus (15% n = 12), an arcuate uterus (10% n = 8), and endometrial polyps (8.8% n = 7). Conclusion: Uterine anomalies were identified in a substantial proportion of women with recurrent miscarriages, emphasizing their role as a significant etiological factor. Septate uterus, arcuate uterus, and endometrial polyps were the most common findings. Early detection using transvaginal ultrasound may improve reproductive outcomes.