[Fertility with uterine anomalies]

45 patients with uterine anomalies were studied regarding their fertility. 39 of these 45 patients were pregnant prior or following the diagnosis. The 80 conceptions show a fertility rate of 86.6%. 46 pregnancies led to the delivery of a viable infant. 34 pregnancies resulted in miscarriage of premature delivery. Miscarriages were much more frequent in women with bicornuate or unicornuate uteri (60%). When other possible reasons for abortions such as toxoplasmosis, insufficiency of the cervix or deficient luteal phase are corrected the number of pregnancies rose to 82. In 53 of these cases a viable infant was delivered. 30% of the women had to be delivered by Caesarean section. When the desire for child-bearing exists uterine anomalies need to be first treated conservatively. Surgical correction of the anomaly is only indicated in a limited number of these cases.