Purpose: A hysteroscopic metroplasty was performed for women with recurrent pregnancy loss owing to a uterine septum, following which some women became infertile. The aim of this study was to elucidate the risk factors of secondary infertility 1 year after hysteroscopic metroplasty for a uterine septum.
Methods: A retrospective, single-center, cohort study included women with a history of at least two miscarriages that had been attributed to a uterine septum who underwent a hysteroscopic metroplasty. The patients' background data were compared between the patients who conceived and those who remained infertile at 1 year postoperatively. The data were analyzed by using the Mann-Whitney U-test and multivariate analyses.
Results: The postoperative live birth rate was 83.9% (n = 26), with persistent infertility in five women at 1 year. When comparing the pregnancy group with the infertile group, the women in the postoperative infertility group were significantly older than those in the postoperative pregnancy group. The multivariate analysis showed that age was an independent risk factor for persistent infertility.
Conclusion: Age was identified as an independent risk factor for postoperative secondary infertility. Therefore, surgery as early as possible is recommended.
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| http://dx.doi.org/10.1002/rmb2.12072 | DOI Listing |
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Hysteroscopic metroplasty and its reproductive impact among the social networks: A cross-sectional analysis on video quality, reliability and creators' opinions on YouTube, TikTok and Instagram.
Int J Med Inform
December 2024
Obstetrics and Gynecology Unit, Department of Woman, Child and General and Specialized Surgery, University of Campania "Luigi Vanvitelli", Naples, Italy. Electronic address:
Background: Usefulness of hysteroscopic metroplasty to improve reproductive outcomes is controversial and debated among reproductive specialists and, consequently, patients.
Methods: We performed a cross-sectional analysis to assess the quality, reliability, and level of misinformation in YouTube, Instagram, and TikTok videos about hysteroscopic metroplasty. Videos on each social network retrieved using "hysteroscopy" and "septate uterus" or "uterine septum" as keywords were assessed using Patient Education Materials Assessment Tool for audio-visual (PEMAT A/V) content, the modified DISCERN (mDISCERN), Global Quality Scale (GQS), Video Information and Quality Index (VIQI) and Misinformation assessment.
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.
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