title: Hysteroscopic resection of uterine septum and reproductive outcome in women with unexplained infertility.
abstract: OBJECTIVE
  To investigate the reproductive outcome after hysteroscopic resection of uterine septum in women with septate uterus and otherwise idiopathic primary infertility.
  
  
  METHODS
  Sixty-eight patients with septate uterus and idiopathic primary infertility were included in this prospective observational study. All patients underwent hysteroscopic metroplasty with scissors under general anesthesia. Main outcome measures were clinical pregnancy rate, live birth and abortion rate at 12 months' follow-up and at mean follow-up time.
  
  
  RESULTS
  At 12 months' follow-up, the clinical pregnancy rate, the live birth rate and the abortion rate were 44% (30/68), 36.8% (25/68) and 16.6% (5/30), respectively. At total follow-up time, the overall pregnancy rate, the live birth rate and the abortion rate were 53.8% (35/65), 41.5% and 14.2% (7/35), respectively, while the stillbirth rate was 2.8% (1/35).
  
  
  CONCLUSIONS
  Hysteroscopic metroplasty in women with septate uterus and unexplained infertility could improve clinical pregnancy rate and live birth rate in patients with otherwise unexplained infertility. If such a patient is looking for a spontaneous pregnancy, this is more likely to occur during the first 15 months following the procedure.
authors.affiliation: Second Department of Obstetrics and Gynecology, Aretaieio Hospital, University of Athens, LHTO Maternity Hospital, Athens, Greece. p_bakas@yahoo.com
authors.forename: Panagiotis
authors.initials: P
authors.lastname: Bakas
authors.forename: Odyseas
authors.initials: O
authors.lastname: Gregoriou
authors.forename: Dimitrios
authors.initials: D
authors.lastname: Hassiakos
authors.forename: Angelos
authors.initials: A
authors.lastname: Liapis
authors.forename: Maria
authors.initials: M
authors.lastname: Creatsas
authors.forename: Sokratis
authors.initials: S
authors.lastname: Konidaris
mesh_terms: D000022:Abortion, Spontaneous / Q000453:epidemiology; D000328:Adult; D005260:Female; D006801:Humans; D015907:Hysteroscopy; D007247:Infertility, Female / Q000209:etiology / Q000601:surgery*; D050498:Live Birth / Q000453:epidemiology; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000453:epidemiology; D050497:Stillbirth / Q000453:epidemiology; D014599:Uterus / Q000002:abnormalities* / Q000601:surgery*