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Reproductive performance in women with complete septate uteri
F Maneschi1, M Parlato, S Incandela
1Department of Gynecology and Obstetrics, University of Palermo, Italy.
The Journal of Reproductive Medicine
|October 1, 1991
Summary
Women with a complete septate uterus can conceive, but may have impaired gestational ability. Metroplasty surgery can improve live birth rates in select cases, offering good reproductive outcomes.
Area of Science:
- Reproductive Medicine
- Gynecologic Surgery
- Uterine Anomalies
Background:
- Complete septate uterus is a uterine anomaly affecting reproductive outcomes.
- Diagnosis is often incidental, with few patients presenting with infertility.
Purpose of the Study:
- To evaluate the reproductive outcomes in women with complete septate uterus.
- To assess the impact of metroplasty on live birth rates.
Main Methods:
- Retrospective analysis of 11 women diagnosed with complete septate uterus.
- Comparison of pregnancy and live birth rates between women who underwent metroplasty and those who did not.
Main Results:
- Overall live birth rate was 61.5% in 8 patients with 13 pregnancies.
- Pregnancy outcomes included abortion (27%), premature delivery (31%), and term births (42%).
- After metroplasty in 4 patients, live birth rate improved to 80% with 5 pregnancies.
Conclusions:
- Complete septate uterus moderately impairs gestational ability but preserves conception ability.
- Metroplasty, when indicated, can significantly improve live birth rates.