IMPACT OF HYSTEROSCOPIC RESECTION OF THE ARCUATE UTERUS IN PATIENTS WITH UNEXPLAINED INFERTILITY IN IMPROVING PREGNANCY RATES

Document Type : Preliminary preprint short reports of original research

Authors

1 Department of Obstetrics and gynecology, Alexandria Faculty of Medicine, Alexandria University

2 Department of Obstetrics and Gynecology, Alexandria Faculty of Medicine, Alexandria University

3 Department of Obstetrics and Gynecology, Endoscopy Unit, Faculty of Medicine, Alexandria University, Egypt

Abstract

INTRODUCTION
Congenital uterine anomalies (CUAs) are structural abnormalities present from birth that can significantly challenge individuals trying to conceive. The arcuate uterus, characterized by a shallow indentation at the uterine fundus, is often considered a mild congenital uterine anomaly or a normal anatomical variant. Differentiating an arcuate uterus from a septate uterus can be challenging due to subtle variations in uterine shape. Its clinical significance remains unclear, as conflicting studies report varying effects on reproductive outcomes. Hysteroscopic resection has been explored as a potential treatment to improve pregnancy rates in women with an arcuate uterus, especially those facing unexplained infertility. This minimally invasive procedure aims to correct the uterine shape, potentially enhancing implantation and pregnancy success. However, deciding to proceed with surgery requires careful assessment, as evidence supporting its effectiveness is still evolving.
AIM OF THE WORK
The aim of the work was to evaluate the effectiveness of hysteroscopic resection of the arcuate uterus in improving pregnancy rates among women with unexplained infertility.

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