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23B - All Infertile Women with a Uterine Septum Should Have a Surgical Removal

Against

from Section III - The Best Policy

Published online by Cambridge University Press:  25 November 2021

By
Fulco van der Veen
Edited by
Roy Homburg ,
Adam H. Balen  and
Robert F. Casper
Roy Homburg
Affiliation:
Homerton University Hospital, London
Adam H. Balen
Affiliation:
Leeds Centre for Reproductive Medicine
Robert F. Casper
Affiliation:
Mount Sinai Hospital, Toronto
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Summary

In infertile women with a uterine septum detected a fertility workup, there are no data of acceptable quality underpinning septum resections. Since this surgical intervention generates costs, is associated with risks and has no clear benefit for the woman, this intervention should not be practiced anymore.

Type
Chapter
Information
50 Big Debates in Reproductive Medicine , pp. 124 - 125
Publisher: Cambridge University Press
Print publication year: 2021

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References

Rikken, JFW, Leeuwis-Fedorovich, NE, Letteboer, S, et al. The pathophysiology of the septate uterus: a systematic review. BJOG. 2019;126:1192–9.CrossRefGoogle ScholarPubMed
Rikken, JFW, Kowalik, CR, Emanuel, MH, et al. Septum resection for women of reproductive age with a septate uterus. Cochrane Database Syst Rev. 2017;(1). Art. No.: CD008576. DOI: 10.1002/14651858.CD008576.pub4.CrossRefGoogle Scholar
Rikken, JFW, Verhorstert, KWJ, Emanuel, MH, et al. Septum resection in women with a septate uterus: a cohort study. Human Reprod. 2020;35(7):1578–88.Google ScholarPubMed

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