CLINICAL PRESENTATIONS AND SURGICAL MANAGEMENT OF UTERINE SEPTUM-ASSOCIATED INFERTILITY: A CASE SERIES STUDY

Abstract

Uterine septum, a congenital uterine anomaly, is implicated in female infertility and adverse reproductive outcomes. This retrospective descriptive case series examines eight patients treated for primary or secondary infertility associated with uterine septum. Diagnostic evaluations, surgical interventions, and postoperative outcomes are presented. Hysteroscopic septum resection emerged as the primary surgical intervention, with varying success rates in achieving pregnancy postoperatively. Factors influencing outcomes include patient age, septum morphology, and associated comorbidities. Individualized treatment strategies and adjunctive therapies such as hormonal manipulation and assisted reproductive techniques are crucial for optimizing fertility outcomes. While promising, long-term reproductive prognosis post-surgery remains uncertain, warranting further research and prospective studies. This study underscores the complexity of uterine septum-associated infertility and emphasizes the need for a multidisciplinary approach to management, aiming to enhance reproductive outcomes and fulfill the reproductive aspirations of affected individuals.