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Case 46 - A 22-Year-Old G3P0030 Woman with Recurrent Pregnancy Loss and Uterine Septum

Published online by Cambridge University Press:  19 November 2021

By
Tana Kim
Edited by
Todd R. Jenkins ,
Lisa Keder ,
Abimola Famuyide ,
Kimberly S. Gecsi  and
David Chelmow
Todd R. Jenkins
Affiliation:
University of Alabama, Birmingham
Lisa Keder
Affiliation:
Ohio State University School of Medicine, Columbus
Abimola Famuyide
Affiliation:
Mayo Clinic, Rochester
Kimberly S. Gecsi
Affiliation:
Medical College of Wisconsin
David Chelmow
Affiliation:
Virginia Commonwealth University School of Medicine
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Summary

A 22-year-old female, gravida 3, para 0, presents to the office for evaluation of recurrent pregnancy loss. Her obstetric history is significant for three prior first-trimester losses, all managed expectantly. She has regular menstrual cycles and has not had difficulty with conceiving in the past. She has been in a relationship with her partner for four years and they desire to conceive at this time. She has no significant past medical or family history and has not had prior surgery. She takes no medications and has no allergies.

Keywords

Uterine septumMullerian anomalyhysteroscopic septoplastyrecurrent pregnancy loss
Type
Chapter
Information
Surgical Gynecology
A Case-Based Approach
 , pp. 140 - 142
Publisher: Cambridge University Press
Print publication year: 2021

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References

Grimbizis, GF, Camus, M, Tarlatzis, BC, Bontis, JN, Devroey, P. Clinical implications of uterine malformations and hysteroscopic treatment results. Hum Reprod Update 2001; 7: 161–74.CrossRefGoogle ScholarPubMed
Practice Committee of the American Society for Reproductive Medicine. Electronic address ; Practice Committee of the American Society for Reproductive Medicine. Uterine septum: a guideline. Fertil Steril 2016; 106: 530–40.Google Scholar
Grimbizis, GF, Gordts, S, Di Spiezio Sardo, A, et al. The ESHRE-ESGE consensus on the classification of female genital tract congenital anomalies. Gynecol Surg 2013; 10: 199–212.Google Scholar
Kupesic, S, Kurjak, A, Skenderovic, S, Bjelos, D. Screening for uterine abnormalities by three-dimensional ultrasound improves perinatal outcome. J Perinat Med 2002; 30: 9–17.CrossRefGoogle ScholarPubMed
Valle, RF, Ekpo, GE. Hysteroscopic metroplasty for the septate uterus: review and meta-analysis. J Minim Invasive Gynecol 2013; 20: 22–42.CrossRefGoogle ScholarPubMed
Venetis, CA, Papadopoulos, SP, Campo, R, et al. Clinical implications of congenital uterine anomalies: a meta-analysis of comparative studies. Reprod Biomed Online 2014; 29: 665–83.CrossRefGoogle ScholarPubMed
Salim, R, Regan, L, Woelfer, B, Backos, M, Jurkovic, D. A comparative study of the morphology of congenital uterine anomalies in women with and without a history of recurrent first trimester miscarriage. Hum Reprod 2003; 18: 162–6.CrossRefGoogle ScholarPubMed
Tonguc, EA, Var, T, Yilmaz, N, Batioglu, S. Intrauterine device or estrogen treatment after hysteroscopic uterine septum resection. Int J Gynaecol Obstet 2010; 109: 226–9.Google Scholar
Vercellini, P, Fedele, L, Arcaini, L, Rognoni, MT, Candiani, GB. Value of intrauterine device insertion and estrogen administration after hysteroscopic metroplasty. J Reprod Med 1989; 34: 447–50.Google Scholar
Saygili-Yilmaz, E, Yildiz, S, Erman-Akar, M, Akyuz, G, Yilmaz, Z. Reproductive outcome of septate uterus after hysteroscopic metroplasty. Arch Gynecol Obstet 2003; 268: 289–92.Google Scholar

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