Primary infertility and uterine anomalies

Area of Science:

• Reproductive Medicine
• Gynecology
• Infertility Research

Background:

• Uterine anomalies are congenital malformations affecting female reproductive health.
• Primary infertility affects a significant number of women seeking reproductive assistance.

Purpose of the Study:

• To determine the incidence of primary infertility in patients with uterine anomalies.
• To investigate the causes of infertility in this patient group and assess treatment outcomes.

Main Methods:

• Retrospective analysis of 208 patients with uterine anomalies over a 20-year period.
• Evaluation of infertility causes, including uterine and non-uterine factors.
• Assessment of pregnancy outcomes following various interventions.

Main Results:

• 19.1% of patients with uterine anomalies presented with primary infertility.
• Non-uterine factors (hormonal, endometriosis, tubal, male) were identified in 12 cases.
• 74% of patients achieved pregnancy, with varied success rates across different treatments.

Conclusions:

• Uterine anomalies are an infrequent cause of primary infertility.
• Thorough investigation of non-uterine factors is essential before considering surgical treatment for infertility.
• Metroplasty should be considered a last resort for infertility management in cases with uterine anomalies.