Abstract
AbstractCongenital uterine anomalies are commonly associated with repeated pregnancy failure, in particular an increased risk of first- and second-trimester miscarriages and preterm delivery. Recent reports on three-dimensional ultrasound (3D US) and saline contrast hysterosonography appear promising for diagnosis and classification of uterine anomalies. The ability to visualize both the uterine cavity and the fundal uterine contour on a 3D US scan facilitates the diagnosis of uterine anomalies and enables differentiation between septate and bicornuate uterus. Color Doppler ultrasound allows visualization of intra-septal vascularity and may help in distinguishing avascular from vascularized septa. Less connective tissue in the septum may result in poor decidualization and placentation, while an increased amount of muscle tissue in the septum can cause miscarriage by the production of local uncoordinated muscular contractility. Hysteroscopic septum excision is an effective procedure which significantly imp...
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