#376 : Septoplasty: Breaking the Divide. Management of Septate Uterus Presenting with Recurrent Pregnancy Loss
Objective: To address Septate Uterus causing Recurrent Pregnancy Loss (RPL) with Septoplasty by creating an adequate adhesion-free uterine cavity. Methods: A 44-year old G4P0(0040) with recurrent pregnancy losses with 2 previous curettages after an abortion consulted. 3D ultrasound showed a uterus w...
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| Format: | Article |
| Language: | English |
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World Scientific Publishing
2023-12-01
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| Series: | Fertility & Reproduction |
| Online Access: | https://www.worldscientific.com/doi/10.1142/S2661318223744326 |
| _version_ | 1797237102118699008 |
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| author | Ricca Mae Cagalawan |
| author_facet | Ricca Mae Cagalawan |
| author_sort | Ricca Mae Cagalawan |
| collection | DOAJ |
| description | Objective: To address Septate Uterus causing Recurrent Pregnancy Loss (RPL) with Septoplasty by creating an adequate adhesion-free uterine cavity. Methods: A 44-year old G4P0(0040) with recurrent pregnancy losses with 2 previous curettages after an abortion consulted. 3D ultrasound showed a uterus with a symmetrical septum extending up to the level of the isthmus with internal indentation of 2.04 cm. Hysteroscopic Septoplasty was done using a Bipolar Colin’s Electrode, resecting the septum in anterograde movement in the median plane of the septum. High dose estrogen was given for 8 weeks for faster re-epithelization. Second look hysteroscopy and 3D ultrasound after two menstrual cycles. Results: Post-operatively, the procedure and hormonal regimen were well-tolerated. The second look hysteroscopy revealed a small remnant of the septum and no adhesions present while the repeat 3D scan showed a 45% reduction of the internal indentation at 1.12 cm. Conclusion: In cases of Recurrent Pregnancy loss due to a septate uterus, it is reasonable to perform a Septoplasty with post-operative hormonal therapy to ensure sufficient intrauterine space and faster endometrial recovery to facilitate implantation and delivery at a viable age of gestation. A Second look Hysteroscopy is recommended to evaluate the procedure. |
| first_indexed | 2024-04-24T17:14:24Z |
| format | Article |
| id | doaj.art-dd8b5716a6e1455f960e9bed8512511d |
| institution | Directory Open Access Journal |
| issn | 2661-3182 2661-3174 |
| language | English |
| last_indexed | 2024-04-24T17:14:24Z |
| publishDate | 2023-12-01 |
| publisher | World Scientific Publishing |
| record_format | Article |
| series | Fertility & Reproduction |
| spelling | doaj.art-dd8b5716a6e1455f960e9bed8512511d2024-03-28T07:54:17ZengWorld Scientific PublishingFertility & Reproduction2661-31822661-31742023-12-01050472672610.1142/S2661318223744326#376 : Septoplasty: Breaking the Divide. Management of Septate Uterus Presenting with Recurrent Pregnancy LossRicca Mae Cagalawan0Southern Philippines Medical Center, Davao City, PhilippinesObjective: To address Septate Uterus causing Recurrent Pregnancy Loss (RPL) with Septoplasty by creating an adequate adhesion-free uterine cavity. Methods: A 44-year old G4P0(0040) with recurrent pregnancy losses with 2 previous curettages after an abortion consulted. 3D ultrasound showed a uterus with a symmetrical septum extending up to the level of the isthmus with internal indentation of 2.04 cm. Hysteroscopic Septoplasty was done using a Bipolar Colin’s Electrode, resecting the septum in anterograde movement in the median plane of the septum. High dose estrogen was given for 8 weeks for faster re-epithelization. Second look hysteroscopy and 3D ultrasound after two menstrual cycles. Results: Post-operatively, the procedure and hormonal regimen were well-tolerated. The second look hysteroscopy revealed a small remnant of the septum and no adhesions present while the repeat 3D scan showed a 45% reduction of the internal indentation at 1.12 cm. Conclusion: In cases of Recurrent Pregnancy loss due to a septate uterus, it is reasonable to perform a Septoplasty with post-operative hormonal therapy to ensure sufficient intrauterine space and faster endometrial recovery to facilitate implantation and delivery at a viable age of gestation. A Second look Hysteroscopy is recommended to evaluate the procedure.https://www.worldscientific.com/doi/10.1142/S2661318223744326 |
| spellingShingle | Ricca Mae Cagalawan #376 : Septoplasty: Breaking the Divide. Management of Septate Uterus Presenting with Recurrent Pregnancy Loss Fertility & Reproduction |
| title | #376 : Septoplasty: Breaking the Divide. Management of Septate Uterus Presenting with Recurrent Pregnancy Loss |
| title_full | #376 : Septoplasty: Breaking the Divide. Management of Septate Uterus Presenting with Recurrent Pregnancy Loss |
| title_fullStr | #376 : Septoplasty: Breaking the Divide. Management of Septate Uterus Presenting with Recurrent Pregnancy Loss |
| title_full_unstemmed | #376 : Septoplasty: Breaking the Divide. Management of Septate Uterus Presenting with Recurrent Pregnancy Loss |
| title_short | #376 : Septoplasty: Breaking the Divide. Management of Septate Uterus Presenting with Recurrent Pregnancy Loss |
| title_sort | 376 septoplasty breaking the divide management of septate uterus presenting with recurrent pregnancy loss |
| url | https://www.worldscientific.com/doi/10.1142/S2661318223744326 |
| work_keys_str_mv | AT riccamaecagalawan 376septoplastybreakingthedividemanagementofseptateuteruspresentingwithrecurrentpregnancyloss |