Does uterine septum resection improve IVF treatment success?

Authors : Munire Funda CEVHER AKDULUM, Erhan DEMİRDAĞ, Seçil İrem ARIK, Mehmet ERDEM, Nuray BOZKURT, Mesut OKTEM, İsmail GÜLER, Ahmet ERDEM

Pages : 1272-1275

Doi:10.32322/jhsm.1133577

View : 29 | Download : 17

Publication Date : 2022-09-25

Article Type : Research Paper

Abstract :Aim: Uterine septum is the most common type of congenital uterine malformation. The septum has also been suggested as a potential cause of infertility. The role of the septum in infertility and whether the septum can be resected is debatable. We aimed to reveal the results of assisted reproductive techniques in patients with septate uterus according to whether or not resection is performed. Material and Method: 7790 patients were scanned retrospectively. 110 patients with the uterine septum and unexplained infertility were included in the study. Patients who underwent uterine septum resection were recorded. The clinical pregnancies of patients were compared according to whether or not resection was performed. In addition, patients with complete septum were evaluated according to whether or not resection was performed, and their clinical pregnancies were evaluated. Results: It was revealed that 79 of the patients with uterine septum underwent septum resection operation. It was determined that 31 patients were not treated. Clinical pregnancy rates were found to be statistically significantly higher in the expectant management group insert ignore into journalissuearticles values(p=0.02);. In addition, comparing the clinical pregnancy rates of the resection and expectant management groups in patients with a complete septum, no significant difference was found between the groups insert ignore into journalissuearticles values(p=0.134);. Conclusion: In our study, the success of treatment with assisted reproductive techniques did not change after septum resection. Although uterine septum resection is a simple and safe method, it has disadvantages such as the development of adhesions and rupture in the uterus. There is insufficient evidence to perform septum resection in patients with uterine septum prior to infertility treatment.
Keywords : Infertility, IVF, septum resection, uterine septum