This hypothesis might be supported by the majority of metroplasty outcomes of uterine septum surgery even in an arcuate uterus
in ART cycles (13,14).
These anomalies can be classified according to the American Society of Reproductive Medicine (ASRM) as segmental Mullerian hypoplasia or agenesis (Group I), unicornuate uterus (Group II), uterine didelphys (Group III), bicornuate uterus (Group IV), septate uterus (Group V), arcuate uterus
(Group VI), and diethylstilbestrol related anomalies (Group VII) .
Most common uterine findings were arcuate uterus
, found in 42.85% patients.
of Cases % Uterine Hypoplasia 3 1.9% Fibroid 10 6.4% Bicornuate (Partial) 2 1.2% Arcuate Uterus
2 1.2% Total 17 10.8 10.8% cases had uterine pathology.
The three diagnoses with the highest operability among uterine malformation patients were septate uterus, rudimentary horn of the uterus, and arcuate uterus
. The three diagnoses with the highest operability among vaginal malformation patients were congenital absence of a vagina, vaginal atresia, and HWWS.
In part 1 of this 2-part installment of our imaging series, we discussed the frequency with which uterine anomalies occur and their types and classifications, as well as offered an imaging library showing the normal endometrial cavity, arcuate uterus
, incomplete (partial) uterine septum, and complete uterine septum.
In the women randomized to routine hysteroscopy, 11% showed a significant abnormality on examination, including 15 women with an arcuate uterus
, 11 women with endometrial polyps, and five women with a partial septum, as well as women with a few other less common abnormalities.
is often considered a normal variant and not a congenital uterine anomaly.
. Near complete resorption of septum resulting in shallow, smooth, broad based impression on uterine cavity which may be depicted in HSG, US and MRI.
Cervical incompetency usually accompanies uterine anomalies except arcuate uterus
(11); therefore, misoprostol is likely to be applicable to dilate the cervix in arcuate uterus
cases as well.
For the full offering of diagnostic images, including the ASRM classification of anomalies, normal endometrial cavity, arcuate uterus
, incomplete (partial) uterine septum, and complete uterine septum, see the Web version of this article, at obgmanagement.com.
These included congenital uterine abnormalities such as partial or complete uterine septum or arcuate uterus
, as well as acquired uterine abnormalities, such as intrauterine adhesions, myomas, or polyps (Eur.