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Uterine septum

Guidelines

Key sources

The following summarized guidelines for the evaluation and management of uterine septum are prepared by our editorial team based on guidelines from the American Society for Reproductive Medicine (ASRM 2016).
1

Diagnostic investigations

Diagnostic imaging: as per ASRM 2016 guidelines, obtain diagnostic imaging (3D ultrasound, sonohysterography, or MRI) with or without hysteroscopy, as first-line investigations, rather than laparoscopy/hysteroscopy.
B
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Medical management

Danazol: as per ASRM 2016 guidelines, insufficient evidence to recommend for or against the use of danazol or GnRH agonists to thin the endometrium prior to hysteroscopic septum incision.
I

Surgical interventions

Hysteroscopic septum incision: as per ASRM 2016 guidelines, recognize that hysteroscopic septum incision is associated with:
improvement in clinical pregnancy rates in patients with infertility
reduction in subsequent miscarriage rates and improvement in live birth rates in patients with a history of recurrent pregnancy loss
improvement in live birth rates in patients with infertility or prior pregnancy loss.
B

More topics in this section

  • Uterine septum incision

  • Postoperative care

Patient education

Effect on fertility: as per ASRM 2016 guidelines, insufficient evidence to suggest that a uterine septum is associated with infertility.
I

More topics in this section

  • Effect on pregnancy