Faculty Collaboration Database

Uterine septum: a guideline. Fertil Steril 2016 Sep 01;106(3):530-40

Date

05/29/2016

Pubmed ID

27235766

DOI

10.1016/j.fertnstert.2016.05.014

Scopus ID

2-s2.0-84978717762 (requires institutional sign-in at Scopus site)   192 Citations

Abstract

The purpose of this guideline is to review the literature regarding septate uterus and determine optimal indications and methods of treatment for it. Septate uterus has been associated with an increase in the risk of miscarriage, premature delivery, and malpresentation; however, there is insufficient evidence that a uterine septum is associated with infertility. Several studies indicate that treating a uterine septum is associated with an improvement in live-birth rates in women with a history of prior pregnancy loss, recurrent pregnancy loss, or infertility. In a patient without infertility or prior pregnancy loss, it may be reasonable to consider septum incision following counseling regarding potential risks and benefits of the procedure. Many techniques are available to surgically treat a uterine septum, but there is insufficient evidence to recommend one specific method over another.

Author List

Practice Committee of the American Society for Reproductive Medicine. Electronic address: ASRM@asrm.org, Practice Committee of the American Society for Reproductive Medicine

Author

Jay I. Sandlow MD Chair, Professor in the Urologic Surgery department at Medical College of Wisconsin

MESH terms used to index this publication - Major topics in bold

Abortion, Habitual
Female
Fertility
Humans
Hysteroscopy
Infertility, Female
Predictive Value of Tests
Pregnancy
Pregnancy Outcome
Risk Factors
Treatment Outcome
Urogenital Abnormalities
Uterus