DID HYSTEROSCOPIC SEPTUM RESECTION IMPROVE THE REPRODUCTIVE OUTCOMES?

Abstract

Hysteroscopic septum resection in females, who have negative reproduction and clinic results, has become common practice over the world to improve reproductive outcomes. Although a clear interpreter has not been published about the potential advantages and drawbacks of this procedure, clinical features obtained from clinical analyzes were showed that reproductive outcome was improved after hysteroscopic resection of the septum in women with infertile and recurrent miscarriages. Because of this reason, we aimed to investigate whether hysteroscopic septum resection healed our pregnancy results or not. A total of 134 women with uterine septum, 78 of whom had recurrent spontaneous pregnancy loss and 56 of whom were infertile, were included in the study. The patients were divided into 4 groups: primary infertile, secondary infertile, 2 abortions and 3 or more spontaneous sequential abortions. All were analyzed retrospectively in terms of reproductive results, procedure-related complications and satisfaction with the procedure. After hysteroscopic septum resection, 19 of 34 (55,8 %) primer infertile patients and 7 of 22 (31,8%) secondary infertile patients became pregnant. These figures were 76,6% and 87.5% in patients with recurrent pregnancy loss of 2 and 3 or more, respectively. The difference between the groups in terms of pregnancy rates reaching 34 weeks and above was not statistically significant (p=0.15). Although hysteroscopic septum resection is also useful in the infertile group, reproductive prognosis can be significantly improved by performing hysteroscopic metroplasty especially in patients with recurrent pregnancy loss