Is it possible to recommend an "optimal" postoperative management after hysteroscopic metroplasty? A retrospective study with 52 infertile patients showing a septate uterus.
BACKGROUND
The aim of the retrospective study was to evaluate the "optimal" postoperative management after hysteroscopic metroplasty. METHODS. FIFTY-TWO: infertile patients with a septate uterus were included. Hysteroscopic metroplasty was performed using electrocautery (dissection needle) with postoperative cyclical hormone replacement therapy (HRT) + intrauterine device (IUD) insertion for 3 months (Group 1, n = 22), or HRT alone for 3 months (Group 2, n = 13), or without postoperative therapy (Group 3, n = 17).


RESULTS
During a median follow-up of 21+/-16.9 months 40.9% in Group 1, 53.8% in Group 2 and 41.2% in Group 3 (p > 0.05) resulted in ongoing pregnancies. The rates of delivery at term were 53.3%, 64.4% and 88.9%, respectively.


CONCLUSIONS
A postoperative 3-months HRT + IUD insertion or a HRT alone after hysteroscopic metroplasty are not necessary.
Nawroth
Frank
F
Department of Obstetrics and Gynaecology, University of Cologne, Kerpener Street 34, 50931 Cologne, Germany. Frank.Nawroth@medizin.uni-koeln.de
Schmidt
Torsten
T
Freise
Claudia
C
Foth
Dolores
D
Römer
Thomas
T
D000328:Adult; D004564:Electrocoagulation; D005260:Female; D005500:Follow-Up Studies; D020249:Hormone Replacement Therapy; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000601:surgery*; D007434:Intrauterine Devices; D011182:Postoperative Care; D011247:Pregnancy; D012189:Retrospective Studies; D013997:Time Factors; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery