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Evidence-based diagnosis and treatment for uterine septum: a guideline
Objective:
To provide evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum.
Methods:
This guideline provides evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum. This replaces the last version of the same name (Fertil Steril. 2016 Sep 1;106(3):530-40).
Main Outcome Measure(S):
Outcomes of interest included the impact of a septum on underlying fertility, live birth, clinical pregnancy, and obstetrical outcomes.
Result(S):
The literature search identified relevant studies to inform the evidence for this guideline.
Conclusion(S):
The treatment of uterine septa and subsequent outcomes associated with infertility, recurrent pregnancy loss, and adverse obstetrical outcomes are summarized. Resection of a septum has been shown to improve outcomes in patients with recurrent pregnancy loss and to decrease the likelihood of malpresentation. In the setting of infertility, it is recommended to use a shared decision-making model after appropriate counseling to determine whether or not to proceed with septum resection.
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