Uterine septum: a guideline

Samantha Pfeifer; Samantha Butts; Daniel Dumesic; Clarisa Gracia; Michael Vernon; Gregory Fossum; Andrew La Barbera; Jennifer Mersereau; Randall Odem; Alan Penzias; Margareta Pisarska; Robert Rebar; Richard Reindollar; Mitchell Rosen; Jay Sandlow; Eric Widra

doi:10.1016/j.fertnstert.2016.05.014

Uterine septum: a guideline

Samantha Pfeifer, Samantha Butts, Daniel Dumesic, Clarisa Gracia, Michael Vernon, Gregory Fossum, Andrew La Barbera, Jennifer Mersereau, Randall Odem, Alan Penzias, Margareta Pisarska, Robert Rebar, Richard Reindollar, Mitchell Rosen, Jay Sandlow, Eric Widra

Research output: Contribution to journal › Article › peer-review

186 Scopus citations

Abstract

The purpose of this guideline is to review the literature regarding septate uterus and determine optimal indications and methods of treatment for it. Septate uterus has been associated with an increase in the risk of miscarriage, premature delivery, and malpresentation; however, there is insufficient evidence that a uterine septum is associated with infertility. Several studies indicate that treating a uterine septum is associated with an improvement in live-birth rates in women with a history of prior pregnancy loss, recurrent pregnancy loss, or infertility. In a patient without infertility or prior pregnancy loss, it may be reasonable to consider septum incision following counseling regarding potential risks and benefits of the procedure. Many techniques are available to surgically treat a uterine septum, but there is insufficient evidence to recommend one specific method over another.

Original language	English (US)
Pages (from-to)	530-540
Number of pages	11
Journal	Fertility and sterility
Volume	106
Issue number	3
DOIs	https://doi.org/10.1016/j.fertnstert.2016.05.014
State	Published - Sep 1 2016

All Science Journal Classification (ASJC) codes

Reproductive Medicine
Obstetrics and Gynecology

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10.1016/j.fertnstert.2016.05.014

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title = "Uterine septum: a guideline",

abstract = "The purpose of this guideline is to review the literature regarding septate uterus and determine optimal indications and methods of treatment for it. Septate uterus has been associated with an increase in the risk of miscarriage, premature delivery, and malpresentation; however, there is insufficient evidence that a uterine septum is associated with infertility. Several studies indicate that treating a uterine septum is associated with an improvement in live-birth rates in women with a history of prior pregnancy loss, recurrent pregnancy loss, or infertility. In a patient without infertility or prior pregnancy loss, it may be reasonable to consider septum incision following counseling regarding potential risks and benefits of the procedure. Many techniques are available to surgically treat a uterine septum, but there is insufficient evidence to recommend one specific method over another.",

author = "Samantha Pfeifer and Samantha Butts and Daniel Dumesic and Clarisa Gracia and Michael Vernon and Gregory Fossum and {La Barbera}, Andrew and Jennifer Mersereau and Randall Odem and Alan Penzias and Margareta Pisarska and Robert Rebar and Richard Reindollar and Mitchell Rosen and Jay Sandlow and Eric Widra",

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AU - Dumesic, Daniel

AU - Gracia, Clarisa

AU - Vernon, Michael

AU - Fossum, Gregory

AU - La Barbera, Andrew

AU - Mersereau, Jennifer

AU - Odem, Randall

AU - Penzias, Alan

AU - Pisarska, Margareta

AU - Rebar, Robert

AU - Reindollar, Richard

AU - Rosen, Mitchell

AU - Sandlow, Jay

AU - Widra, Eric

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AB - The purpose of this guideline is to review the literature regarding septate uterus and determine optimal indications and methods of treatment for it. Septate uterus has been associated with an increase in the risk of miscarriage, premature delivery, and malpresentation; however, there is insufficient evidence that a uterine septum is associated with infertility. Several studies indicate that treating a uterine septum is associated with an improvement in live-birth rates in women with a history of prior pregnancy loss, recurrent pregnancy loss, or infertility. In a patient without infertility or prior pregnancy loss, it may be reasonable to consider septum incision following counseling regarding potential risks and benefits of the procedure. Many techniques are available to surgically treat a uterine septum, but there is insufficient evidence to recommend one specific method over another.

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Uterine septum: a guideline

Abstract

All Science Journal Classification (ASJC) codes

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