Abstract

Congenital Mullerian anomalies (CMA) are the result of a developmental anomaly of the Mullerian ducts because of a failure during the fusion. The estimated prevalence of CMA in the general population is around 6.7%, whereas in the infertile population is about 7.3% and 16.7% in those women with recurrent miscarriage. Arcuate and septate uteri are the most common forms of anomalies both in fertile and infertile patients. The European Society of Human Reproduction and Embryology (ESHRE) and the European Society for Gynaecological Endoscopy (ESGE) created the Congenital Uterine Anomalies Group (CONUTA). The American Society for Reproductive Medicine (ASRM) proposed their classification in 1988. The reason for infertility, although not fully understood, lies in the altered characteristics of the endometrium lining in the malformed uteri, ending in low implantation rates. Hysteroscopy remains the gold standard method for the evaluation of the uterine cavity, so it is of paramount importance to correctly diagnose these alterations and treat them when appropriate.

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