[Uterine malformations and reproduction].

Area of Science:

• Reproductive Medicine
• Gynecological Surgery
• Embryology

Context:

• Uterine malformations are challenging to diagnose and can significantly impact reproductive health.
• Specific diagnostic tools like hysterosalpingography, hysteroscopy, and laparoscopy are essential.
• These abnormalities can lead to complications such as abortion, preterm delivery, and intrauterine growth restriction.

Purpose:

• To explore the diagnostic challenges and reproductive implications of uterine malformations.
• To highlight the role of surgical interventions, particularly endoscopy, in managing these conditions.
• To assess the impact of uterine abnormalities on fertility and pregnancy outcomes.

Summary:

• Uterine malformations are difficult to quantify but can impair spontaneous fertility and negatively affect pregnancy progression.
• While ovarian function remains largely unaffected, implantation rates may decrease.
• Endoscopic surgical procedures, including hysteroscopic septum section and expansion metroplasty, offer precise diagnosis and improved reproductive outcomes.

Impact:

• Accurate diagnosis and timely surgical treatment of uterine malformations can enhance conception rates.
• Improved management strategies can lead to better pregnancy outcomes, reducing risks of abortion and preterm delivery.
• Surgical interventions provide prognostic evaluation and effective treatment, optimizing reproductive potential.