title: Is estrogen necessary after hysteroscopic incision of the uterine septum?
abstract: OBJECTIVE
  To evaluate the influence of estrogen after hysteroscopic incision of the uterine septum.
  
  
  METHODS
  Prospective, randomized, blinded study.
  
  
  METHODS
  A national referral university hospital.
  
  
  METHODS
  Fifty women in whom hysterosalpingography (HSG) showed a fundal defect and had septate uterus confirmed by laparoscopy.
  
  
  METHODS
  Preoperative HSG, hysteroscopic incision of the septum, and postoperative HSG. Four patients were omitted from the analysis because the angle of the uterus could not be corrected, as shown by postoperative HSG. Group 1 (23 women) received conjugated estrogen and progesterone postoperatively and group 2 (23 women) received no hormone.
  
  
  RESULTS
  The ratios of the length of the septum to the length of the uterus in the HSGs obtained preoperatively (a/b) and postoperatively (a'/b') were calculated and subtracted from each other (a/b - a'/b'). The means of the subtractions in the two groups were compared. The t test was used for statistical comparison. The results showed no statistically significant difference.
  
  
  CONCLUSIONS
  Estrogen has no apparent role after hysteroscopic incision of the septum.
authors.affiliation: Endoscopy and Fertility Research Center, Mirza Kouchek Khan Hospital, Tehran, Iran.
authors.forename: H
authors.initials: H
authors.lastname: Dabirashrafi
authors.forename: K
authors.initials: K
authors.lastname: Mohammad
authors.forename: N
authors.initials: N
authors.lastname: Moghadami-Tabrizi
authors.forename: K
authors.initials: K
authors.lastname: Zandinejad
authors.forename: M
authors.initials: M
authors.lastname: Moghadami-Tabrizi
mesh_terms: D004311:Double-Blind Method; D015914:Estrogen Replacement Therapy; D005260:Female; D006801:Humans; D007047:Hysterosalpingography; D015907:Hysteroscopy; D010535:Laparoscopy; D008875:Middle Aged; D011446:Prospective Studies; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*