Fertility after metroplasty of the septate uterus

Congenital uterine anomalies are well known to affect a woman's fertility and ability to deliver a viable infant. A retrospective chart review with recent follow-up was performed for 38 women who underwent a modified Tompkin's metroplasty. All septate uterine configurations were proven by hysterosalpingography and laparoscopy. We examined the preoperative and postoperative fertility and pregnancy salvage rates. An examination to exclude other absolute infertility and pregnancy wastage factors was completed before surgery. Of 38 women studied, 30 (78.9%) had conceived before surgery, for a 6.2% pregnancy salvage rate. Of the 36 women operated on at least one year previously, 24 (66.7%) had become pregnant, for a 77.8% pregnancy salvage rate. Fertility after metroplasty is dependent on many individual factors, and efforts must be made to maximize them. Metroplasty improves the pregnancy salvage rate in women with septate uteri.