scholarly journals Müllerian Anomalies Prevalence Diagnosed by Hysteroscopy and Laparoscopy in Mexican Infertile Women: Results from a Cohort Study

Diagnostics ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. 149 ◽  
Author(s):  
Enrique Reyes-Muñoz ◽  
Salvatore Giovanni Vitale ◽  
Deisi Alvarado-Rosales ◽  
Esther Iyune-Cojab ◽  
Amerigo Vitagliano ◽  
...  
Keyword(s):  
Intrauterine Insemination ◽  
Mexican Women ◽  
Septate Uterus ◽  
Mullerian Anomalies ◽  
Women Candidates ◽  
Vitro Fertilization ◽  
Infertile Women ◽  
Müllerian Anomalies ◽  
Unicornuate Uterus

Background: To evaluate the prevalence of Müllerian anomalies (MAs) in a cohort of infertile Mexican women candidates for infertility treatments (intrauterine insemination or IVF (In vitro fertilization) cycles). Methods: We performed a retrospective observational study on a cohort of consecutive women, who underwent hysteroscopy and laparoscopy as part of the basic infertility workup from 2002 to 2014, at our center. Our aim was to calculate the prevalence of MAs and each subtype. Results: A total of 4005 women were included in the study. The MA prevalence was 4.4% (95% CI; 3.8–5.1; n = 177). Among women with MAs, the prevalence of different MA types was: septate uterus 54.2% (n = 96), arcuate uterus 15.8% (n = 28), bicornuate uterus 10.7% (n = 19), unicornuate uterus 8.5% (n = 15), didelphys uterus 6.2% (n = 11) and hypoplasia/agenesis 3.4% (n = 6), unclassifiable 1.1% (n = 2). Women with MAs who achieved pregnancy were: 33.3% (n = 59). The MA associated with the highest pregnancy rate was septate uterus after hysteroscopic correction, at 38.5% (37/96). Conclusions: The prevalence of MAs among infertile Mexican women can be considered as low, but not negligible. The septate uterus is the most common MA in women with infertility.

PREVALENCE AND DIAGNOSIS OF MULLERIAN ANOMALIES IN INFERTILE WOMEN USING DIFFERENT MODALITIES

2021 ◽  
pp. 47-49
Author(s):  
Amita Yadav ◽  
Archana Kumari ◽  
Anupama Gupta
Keyword(s):  
Septate Uterus ◽  
Mullerian Anomalies ◽  
Infertile Women ◽  
Medical College ◽  
Non Invasive ◽  
Müllerian Anomalies ◽  
Kappa Value ◽  
Diagnostic Modalities ◽  
3D Ultrasonography ◽  
A Prospective Study

Objective: To diagnose the various types of Mullerian abnormalities using different modalities and to nd out its prevalence among infertile women. Method: A prospective study was conducted on 200 infertile women attending the outpatient and inpatient department of Obstetrics and Gynaecology in Swaroop Rani Nehru hospital and kamla Nehru Hospital of MLN medical College,Prayagraj during the year 2019-2020. Hysterosalpingography, 3 D ultrasonography and hysterolaparoscopy was used as diagnostic modalities to nd the prevalence of mullerian anomalies among infertile women of age group of 20 to 40 years. A total of 18 cases (9%) Results: were diagnosed to have mullerian anomalies which included 7 cases of partial septate uterus(3.5%), 2 cases (1%) each of complete septate,partial bicornuate and arcuate uterus respectively, 1 case(0.5%) each of agenesis, didelphys, complete bicornuate,unicornuate-non communicant and unicornuate without horn respectively. Conclusion: Prevalence of Mullerian anomalies in our study was 9% among infertile women, partial septate being the most common. Diagnostic hysterolaparoscopy was best investigation(sensitivity=100%, specicity=100%,PPV=100%,NPV=100%). 3D ultrasonography ,being non-invasive and more convenient was stongly comparable to hysterolaparoscopy( kappa value=0.906) than to hysterosalpingography( kappa value=0.660).

scholarly journals Management of endometrial polyps in infertile women: A mini-review

2021 ◽  
Author(s):  
Byung Chul Jee ◽  
Hye Gyeong Jeong
Keyword(s):  
Pregnancy Rate ◽  
Intrauterine Insemination ◽  
Polyp Size ◽  
Endometrial Polyps ◽  
Vitro Fertilization ◽  
Infertile Women ◽  
Ivf Failure ◽  
Negative Effect ◽  
The Impact

Considerable disagreement exists regarding whether endometrial polyps should be removed before attempting natural pregnancy and before pregnancy via intrauterine insemination (IUI) or in vitro fertilization (IVF). Through a literature review, we obtained information on the impact of endometrial polyps and polypectomy on fertility outcomes. Several observational studies have suggested that women with unexplained infertility may benefit from endometrial polypectomy for a future natural pregnancy. A few studies reported benefits from endometrial polypectomy in infertile women who plan to undergo IUI. However, no strong evidence supports polypectomy as a way to improve the pregnancy rate in infertile women who plan to undergo IVF or polypectomy during controlled ovarian stimulation for IVF. Although no studies have defined criteria for the polyp size that should be removed in infertile women, clinicians should be aware that small endometrial polyps (<10 mm) sometimes regress spontaneously. Endometrial polypectomy is currently justified in patients with repeated IVF failure, but more studies are needed to verify that endometrial polypectomy itself will eventually increase the pregnancy rate. Although several mechanisms by which endometrial polyps exert a negative effect on fertility have emerged, there is no consensus about the proper management of endometrial polyps in infertile women. Therefore, the management of endometrial polyps should be individualized depending on the patient's situation and clinician’s preference.

Pregnancy Outcomes Using Assisted Reproductive Technology After Fertility-Preserving Therapy in Patients With Endometrial Adenocarcinoma or Atypical Complex Hyperplasia

2009 ◽  
Vol 19 (1) ◽  
pp. 147-151 ◽  
Author(s):  
Aera R. Han ◽  
Yong-Soon Kwon ◽  
D. Y. Kim ◽  
J. H. Kim ◽  
Y. M. Kim ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Assisted Reproductive Technology ◽  
Intrauterine Insemination ◽  
Medical Center ◽  
Endometrial Adenocarcinoma ◽  
Controlled Ovarian Hyperstimulation ◽  
Reproductive Technology ◽  
Vitro Fertilization ◽  
Asan Medical

Objectives:To evaluate the outcomes of pregnancy in young women (<40 years old) with early endometrial cancer or atypical complex hyperplasia who were treated by conservative management followed by assisted reproductive technology (ART).Materials and Methods:Medical charts of 11 patients treated from January 1997 to October 2007 at Asan Medical Center were retrospectively reviewed. These patients had all been treated with progestin and serial dilatation and curettage as primary fertility-preserving therapies.Results:After pathological remission of disease, 10 patients tried to become pregnant by ART, 4 by in vitro fertilization and embryo transfer, and 6 by controlled ovarian hyperstimulation, with or without intrauterine insemination. Eight women had intrauterine pregnancies, and 6 patients had live births. Patients have been followed up for 9 to 51 months (mean, 21 months) after delivery, with no evidence of tumor recurrence.Conclusions:Fertility-preserving therapy followed by ART can be a good option in well-selected patients with early endometrial cancer who want to become pregnant.

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