A female come to gynaeoPD for preconceptual counseling, with history of two second trimester aboions. What is the next investigation you will advice
TVS
hysteroscopy
Endometrial biopsy
chromosomal abnormalities
Ans: A. TVSRef: Williams Obstetrics 24h ed"Most common cause of second trimester aboion is cervicouterine abnormalities.Next step would be to do an ultrasound and look for any structural uterine anomaly.Chromosomal abnormalities are common cause of aboftions in first trimester.