AI Article Synopsis
- The study evaluated postoperative management strategies for infertile patients with a septate uterus after undergoing hysteroscopic metroplasty.
- Participants were divided into three groups: one received hormone replacement therapy (HRT) with an intrauterine device (IUD), another received HRT alone, and the last received no therapy.
- Results showed no significant difference in ongoing pregnancy rates among groups, suggesting the additional interventions (HRT + IUD) might not be necessary for successful outcomes.
Article Abstract
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.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1046/j.0001-6349.2001.10228.x | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
This is the case of a 30-year-old nulliparous patient with a complete uterine septum, double cervix and non- obstructive longitudinal vaginal septum (Class U2bC2V1 according to the ESHRE/ESGE classification). The patient presented with severe dyspareunia and dysmenorrhea. Imaging revealed a complex Müllerian anomaly and hysteroscopic treatment was agreed.
View Article and Find Full Text PDFMaternofetal Outcomes in Women With Congenital Uterine Anomalies.
Cureus
November 2024
Department of Obstetrics and Gynaecology, Saveetha Medical College and Hospitals, Saveetha Institute of Medical and Technical Sciences, Saveetha University, Chennai, IND.
Müllerian anomalies are congenital disorders that affect the female reproductive system, often leading to a range of obstetric complications. These anomalies include structural abnormalities such as arcuate, septate, unicornuate, and bicornuate uteri, which can impact fertility, pregnancy outcomes, and delivery methods. This case series presents five patients with different types of Müllerian anomalies, including septate, arcuate, and unicornuate uteri.
View Article and Find Full Text PDFIntraoperative ultrasound for uterine septum resection: a systematic review and meta-analysis.
Arch Gynecol Obstet
December 2024
Department of Maternal and Child Health and Urology, Sapienza University, Viale Regina Elena, 324, 00161, Rome, Italy.
Article Synopsis
- Septate uterus is a common uterine malformation that can negatively impact fertility, prompting treatments like hysteroscopic metroplasty for affected individuals.
- A systematic review and meta-analysis evaluated the effectiveness of intraoperative ultrasound monitoring during hysteroscopic metroplasty compared to other monitoring methods or no monitoring at all.
- Results showed that intraoperative ultrasound significantly reduced the occurrence of residual septum greater than 10 mm and any residual septa, with similar procedure times and fewer complications, indicating potential benefits for future reproductive outcomes.
Embryofetoscopy followed by hysteroscopic evacuation of a first trimester missed abortion in a woman with septate uterus.
Fertil Steril
November 2024
Obstetrics, Gynecology, and Reproductive Sciences Department, Minimally Invasive Gynecology Division, University of Miami, Miller School of Medicine, Miami, Florida.
Objective: To describe the technique of embryofetoscopy performed with 5Fr instruments with targeted evacuation of the gestational sac followed by a visual dilatation and curettage (D&C) using the hysteroscopic tissue removal system for the management of first trimester missed abortion in a patient with uterine septum.
Design: Video case-report.
Setting: University tertiary-care hospital.
Correction: Goidescu et al. Is Hysteroscopic Metroplasty Advisable for U2bC2V1 Malformation? 2024, , 1649.
Diagnostics (Basel)
October 2024
Department of Obstetrics and Gynecology, "Iuliu Hatieganu" University of Medicine and Pharmacy, 400347 Cluj-Napoca, Romania.
Dan Boitor Borza was not included as an author in the original publication [...
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!