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. 2009 Jan;1(1):17-20.
doi: 10.4103/0974-1216.51904.

Reproductive performance after hysteroscopic metroplasty in women with primary infertility and septate uterus

Hrishikesh D Pai  1 , Manisha T Kundnani, Nandita P Palshetkar, Rishma D Pai, Nidhi Saxena
Affiliations

Reproductive performance after hysteroscopic metroplasty in women with primary infertility and septate uterus

Hrishikesh D Pai et al. J Gynecol Endosc Surg. 2009 Jan.

Abstract

Background: There is enough evidence in 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: 72 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 analysed.

Result: 33 women (45.83%) conceived within one year of surgery. Only 4 women (12%) had spontaneous abortions and only 5 (15%) had preterm delivery.

Conclusion: Hysteroscopic metroplasty in women with septate uterus significantly improves the reproductive performance.

Keywords: Infertility; hysteroscopy; septal resection.

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Conflict of interest statement

Conflict of Interest: None.

Figures

Figure 1
Figure 1
Broad uterine septum
Figure 2
Figure 2
Versapoint cutting the septum
Figure 3
Figure 3
Uterine cavity after septal resection
See this image and copyright information in PMC

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