Reproductive outcome after hysteroscopic metroplasty in women with septate uterus and otherwise unexplained infertility.
OBJECTIVE
To evaluate the reproductive outcome of hysteroscopic metroplasty performed in women with septate uterus and otherwise unexplained primary infertility.


METHODS
Prospective, observational study.


METHODS
Tertiary center for reproductive medicine.


METHODS
Sixty-one patients with uterine septa and otherwise unexplained primary infertility.


METHODS
Hysteroscopic division of the uterine septum.


METHODS
Reproductive outcome after hysteroscopic metroplasty.


RESULTS
Of 61 women, 25 (41%) conceived within 8-14 (mean 11.2) months after hysteroscopic metroplasty. Of these, 18 (29.5% of the total group) had live births (13 carried to term and 5 had preterm deliveries), and 7 (11.5% of the total group) had spontaneous abortions. Cervical cerclage was performed in 9 women; only 1 (11.1%) of these patients and 4 (44.4%) of the 9 who did not have a cerclage had preterm deliveries. Twelve of the 18 women (66.6%) who had live births were delivered by cesarean section.


CONCLUSIONS
Women with uterine septum and otherwise unexplained infertility might benefit from hysteroscopic metroplasty.
Pabuçcu
Recai
R
Department of Obstetrics and Gynecology, Faculty of Medicine, Gülhane Military Medical Academy, Ankara, Turkey. rpabuccu@gata.edu.tr
Gomel
Victor
V
D000328:Adult; D023802:Cerclage, Cervical; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D007752:Obstetric Labor, Premature / Q000209:etiology; D011247:Pregnancy; D011446:Prospective Studies; D002581:Uterine Cervical Incompetence / Q000150:complications / Q000601:surgery; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*