This study was to ascertain reproductive better outcome in hysteroscopic metroplasty, the literature to support that removal of septum improves pregnancy rates in women with bad obstetric history. However, its role in patients with otherwise unexplained infertility is still not clear due to paucity of enough evidence.
Objective
To assess reproductive performance in women with septate uterus and otherwise unexplained infertility after hysteroscopic metroplasty.
Materials and methods
Eight women with septate uterus and otherwise unexplained primary infertility were included in the study. All these women underwent hysteroscopic septal resection. Reproductive performance of these women within one year of surgery was studied and analyzed.
Result
Forty women (45.83%) conceived within one year of surgery. Only six women (12%) had spontaneous abortions and only five (15%) had preterm delivery.
Conclusion
Hysteroscopic metroplasty in women with septate uterus significantly improves the reproductive performance. Septate uterus is not a primary factor of infertility. Hysteroscopic metroplasty restores normal uterine cavity with a good uterine vascularization to have better reproductive outcome.
Hysteroscopic treatment of septate uterus. Gynaecol Endosc 1995;4:213-15.
Hysteroscopic metroplasty for septate uterus. Obstet Gynecol Clin N Am 1995;22:473-89.
The obstetric outcome of in vitro fertilization and embryo transfer in women with congenital uterine malformation. Am J Obstet Gynecol 1996;175:85-89.
Ultrastructural aspects of endometrium in infertile women with septate uterus. Fertil Steril 1996;65:750-52.
The septate uterus: A review of management and reproductive outcome. Fertil Steril 2000;73:1-14.
Hysteroscopic treatment of septate and arcuate uterus. Gynaecol Endosc 1996;5:151-54.
Operative hysteroscopy for infertility. Clin Obstet Gynecol 1992;35:229-41.
Reproductive outcome after hysteroscopic metroplasty in women with septate uterus and otherwise unexplained infertility. Fertil Steril 2004;81:1675-78.
Hysteroscopic resection of the septum improves the pregnancy rate of women with unexplained infertility: A prospective controlled trial. Fertil Steril 2008 in press.