FURTHER MANAGEMENT OF HYSTEROSCOPIC METROPLASTY OF SEPTATE UTERUS
DOI:
https://doi.org/10.52340/jecm.2023.05.29Keywords:
management, hysteroscopic metroplasty, septate uterusAbstract
166 cases of women with a septate uterus diagnosis had been studied in this research, who had gone through hysteroscopic metroplasty. Out of which 29 (17,47%) of women had complete septum, and 137 (17,47%) had incomplete septum uteri. Primary Infertility was relived among 69 (42%), and secondary infertility - 97 (58%). 59 patients out of 97 (secondary infertility) were diagnosed with recurrent miscarriage. The overall life birth rate (LBR) after septoplasty was 47% and the overall pregnancy rate was 69%. The postoperative hormone therapy and anti-adhesion gel, the combined treatment group had a significantly higher pregnancy rate (75%, p=0.008), live birth rate (80.0% p=0.095), and recurrent miscarriage rate (20%, p=0.095). Intrauterine synechiae of varying degrees were found in women who terminated pregnancy or did not become pregnant within 6 months of surgery.
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