Reproductive prognosis after hysteroscopic metroplasty in 102 women: life-table analysis.

OBJECTIVE

To evaluate reproductive prognosis after hysteroscopic metroplasty.

DESIGN

The cumulative proportions of women who became pregnant and gave birth, subdivided according to previous obstetric history, were calculated by the product limit method and compared using the log rank test.

SETTING

Outpatient infertility clinic of Milan University.

PATIENTS

One hundred two consecutive patients with complete (n = 23) or partial septate uterus (n = 79) referred because of infertility or repeated abortion.

INTERVENTION

Hysteroscopic metroplasty performed by microscissors (n = 80), argon laser (n = 10), or electroresectoscope (n = 12).

MAIN OUTCOME MEASURES

Postoperative cumulative pregnancy and birth rates.

RESULTS

At 36 months the cumulative pregnancy and birth rates were 89% and 75%, respectively, in the septate uterus group and 80% and 67% in the subseptate uterus group.

CONCLUSIONS

Reproductive prognosis after hysteroscopic metroplasty was favorable and not influenced by the malformation subclass.