Dysmorphic uteri: Obstetric results after hysteroscopic office metroplasty in infertile and recurrent pregnancy loss patients. A prospective observational study
Entity
UAM. Departamento de Obstetricia y GinecologíaPublisher
MDPI, Basel, SwitzerlandDate
2020-09-04Citation
10.3390/jcm9092857
Journal of Clinical Medicine 9.9 (2020): 2857
ISSN
2077-0383DOI
10.3390/jcm9092857Editor's Version
http://doi.org/10.3390/jcm9092857Subjects
dysmorphic uterus; hypoplastic uterus; T-shaped uterus; uterine malformation; Müllerian anomaly; hysteroscopy; HOME-DU; metroplasty; infertility; recurrent pregnancy loss; MedicinaRights
© 2020 The AuthorsAbstract
To compare the obstetric results achieved after hysteroscopic office metroplasty (HOME-DU) in infertile and recurrent pregnancy loss (RPL) patients diagnosed with dysmorphic uterus,
women hysteroscopically diagnosed with dysmorphic uterus who underwent uterine-enlargement
metroplasty were prospectively enrolled from June 2016 until April 2020. Patients were followed up
and obstetric outcomes were recorded (pregnancy and live birth rate). Sixty-three women (30 infertile;
33 RPL) were enrolled, of which 48 became pregnant post-HOME-DU, with an overall pregnancy
rate of 76.2% (66.7% among infertile participants; 84.9% among those with RPL). Overall, 64.3%
(n = 36/63) achieved live birth. Among infertile women, 62.07% (n = 18/29) achieved live birth, as
well as 66.7% of women with RPL (n = 18/27). The di erence in live birth rates between both cohorts was 4.6% (p > 0.05). The rate of miscarriage amongst infertile patients was 3.3% (n = 1/30) and 12.1% amongst women with RPL (n = 4/33). Office metroplasty via the HOME-DU technique improves obstetric results (namely increasing live birth rate) in patients with dysmorphic uterus and a history of reproductive failure. No significant difference was found in the clinical efficacy of HOME-DU in infertile and RPL patients
Files in this item
Google Scholar:Sánchez-Santiuste, Mónica
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Ríos, Mar
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Calles, Laura
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Cuesta, Reyes de la
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Engels Calvo, Virginia
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Pereira Sánchez, Augusto
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Pérez Medina, Tirso
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