[Should you operate on a uterine septum ?]

Area of Science:

• Reproductive Medicine
• Gynecology
• Obstetrics

Background:

• Uterine septum is the most common congenital uterine anomaly.
• It is associated with recurrent miscarriages, premature deliveries, and infertility.

Purpose of the Study:

• To evaluate the benefits of hysteroscopic septoplasty for women with uterine septum.
• To assess the impact of uterine septum resection on fertility and obstetrical outcomes.

Main Methods:

• Diagnosis of uterine septum using ultrasound, MRI, and hysteroscopy.
• Hysteroscopic resection of the uterine septum.

Main Results:

• Hysteroscopic septoplasty improves pregnancy rates and live birth rates.
• The procedure reduces the rate of miscarriages.
• Benefits are observed in both symptomatic and asymptomatic patients.

Conclusions:

• Resection of uterine septum is encouraged for symptomatic patients.
• Prophylactic resection in asymptomatic patients may improve pregnancy success.
• Hysteroscopic septoplasty enhances the reproductive and obstetrical future of women.