ArticleReproductive sciences (Thousand Oaks, Calif.)2025
Reproductive Performance and Obstetric Outcomes after Hysteroscopic Metroplasty for T Shaped Uterus.
Article in Reproductive sciences (Thousand Oaks, Calif.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
The aim of this retrospective cohort study is to investigate the impact of hysteroscopic metroplasty for T-shaped uterus on reproductive and obstetric outcomes in patients admitted to our infertility clinic for unexplained infertility or history of miscarriage and were operated for T-shaped uterus.Hospital records of consecutive patients who underwent hysteroscopic metroplasty for T shaped uterus between February 2021 and December 2022 were reviewed and 37 eligible patients were enrolled. These were nulliparous women between 18 and 40 years of age with T-shaped uteri and either history of abortion(s) or otherwise unexplained infertility period of at least 1 year. Patients who were pregnant at the first interview were called once more.During our follow-up period, 25 pregnancies, 1 of which was extrauterine, occurred in 23 patients (Clinical Pregnancy Rate: 64.9%). Six of 24 intrauterine pregnancies ended as abortion (25.0%), and 18 as live birth (Live Birth Rate (LBR) per pregnancy: 75.0%). LBRs per women in subgroups with and without previous history of miscarriage were 70.0% and 73.3%, respectively (p > 0.05).Hysteroscopic metroplasty for T shaped uterus may improve clinical pregnancy, live birth and abortion rates in infertile population with and without previous pregnancy loss. Prospective randomized controlled studies (with a nonsurgical follow up group) with larger sample sizes and longer follow up periods also considering the severity of the dysmorphism will be beneficial to clarify the issue.
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