Prevalence and pregnancy outcome of mullerian anomalies in infertile women: A retrospective 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).

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The association between Mullerian anomalies and short-term pregnancy outcome

The Journal of Maternal-Fetal & Neonatal Medicine ◽

10.3109/14767058.2015.1098613 ◽

2015 ◽

pp. 1-6 ◽

Cited By ~ 3

Author(s):

Liran Hiersch ◽

Effi Yeoshoua ◽

Hadas Miremberg ◽

Haim Krissi ◽

Amir Aviram ◽

...

Keyword(s):

Pregnancy Outcome ◽

Term Pregnancy ◽

Short Term ◽

Mullerian Anomalies ◽

Müllerian Anomalies

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

Diagnostics ◽

10.3390/diagnostics9040149 ◽

2019 ◽

Vol 9 (4) ◽

pp. 149 ◽

Cited By ~ 1

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.

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