Fertility and pregnancy rate in patients with septate uterus like primary sterility and with habitual abortions before and after hysteroscopic interventions

Introduction

Uterine malformations result from the development of Mylerian ducts throw embryogenesis.Symptoms are ranged from amenorrhea, infertility, habitual abortions. Prevalence of uterine anomalies are 6.7 %.
Its presence is associated with poor reproductive performance, including high incidence of first and second trimester abortion, preterm delivery (often as a result of premature rupture of the membranes), as well as abnormal presentations and increased Caesarean section rates (Heinonen et al., 1982; Buttram, 1983; McShane et al., 1983;
Here it shall be presented the last uterine classification of uterine anomalies which was reached on 28.08.134 from ESHRE/ESGE Consensus work of two societies of gynecologists and which extended 3 years.

Objective

To evaluate the effectiveness of hysteroscopy resection of uterine septum in patients with primary sterility and habitual abortions.

Methods

Evaluated 25 patients who had the septate uterus, primary fertility and habitual abortions.With habitual abortions are understood two abortions consecutive. In research was included different age of patients. With the mini hysteroscopy Richard Wolf and scissors are resected the septum under the short intravenous anesthesia. Intervention can be done also without anesthesia but the will of our patients was with anesthesia. The intervention procedure extended 20 till 45 min. The work with mini hysteroscopy started on 01/01/13 till 31/12/13.From the Work with hysteroscopy started on 01.06.13 and evaluation of patients was till 31.12.13.
From the total number of patients which have done the intervention 6 patients have given birth 6 of them are in the third trimester of pregnancy. The pregnancy rate and the live born is 48% and if we count the live birth the total success is 24 %.
 From the total number of patients which have given birth are 6 patients and 6 patients are in the third trimester of pregnancy.In percent’s are 44 %.
Two patients of the total number have done the resection of septum to be prepared for IVF because of ovarian insufficiency are 3 patients.
The main outcome measures were clinical pregnancy and live birth rates.

Conclusion

From the results which are achieved it is evidenced that the hysteroscopy intervention in patients with septate uterus fertility is increased the clinical pregnancy rate and the live birth rate.

Keywords

Hysteroscopy, uterine septum, habitual abortions

	File/Dsecription
	Figure 1 Uterin anomalies
	Figure 2 Uterin anomalies t
	Table 1 Main outcom table with live birth
	Table 2 Patients with habitual abortions
	Table 3 Table of live birth