Abstract

Objective: To assess the reproductive outcome after hysteroscopic septal resection in women with unexplained infertility or recurrent miscarriage. Design: Prospective clinical trial. Setting: Zagazig university hospitals, Egypt.

Highlights

  • Anomalies of the reproductive tract are common and present in about 3-5% of the general population and in about 3% of infertile women [1]

  • There was significant improvement in the reproductive outcome in patients with recurrent pregnancy loss, there was highly significant reduction in the abortion rate to 11.1% (p= 0.00) after hysteroscopic metroplasty but there was non-significant reduction in preterm birth from 11.1% to 7.4% (p= 0.63)

  • Conclusion: performing hysteroscopic metroplasty could markedly improve the reproductive outcome in patients having recurrent miscarriage in the form of reduction in abortion rate and increase in term delivery and live-birth rates

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Summary

Introduction

Anomalies of the reproductive tract are common and present in about 3-5% of the general population and in about 3% of infertile women [1]. They are asymptomatic [2], but they can be associated with recurrent abortions or infertility [3]. They are diagnosed in more than 25% of females that are having repeated pregnancy loss [4].

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