Coexistence of endometriosis and uterine septum in patients with abortion or infertility

Berfu Demir, Berna Dilbaz, Burak Karadağ, Burak Karadag, Rafet Duraker, Mehmet Özgür Akkurt, Ozgur Akkurt, Muberra Kocak, Müberra Koçak, Umit Goktolga, Ümit Göktolga
Journal of Obstetrics and Gynaecology Research · 2011 · vol. 37(11) , pp. 1596–1600 · doi:10.1111/j.1447-0756.2011.01581.x · PMID:21733036 · W1899302290
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This study found no increased incidence of endometriosis in patients with a septate uterus, but infertility in women with a partial uterine septum may be related to endometriosis.

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Abstract

AIM: To investigate the coexistence of endometriosis and uterine septum patients whose complaints are abortion and infertility. METHODS: Ninety-two patients with a uterine septum and 191 patients who had undergone diagnostic laparoscopy for infertility were reviewed. The incidence of endometriosis in patients with a uterine septum was compared with patients with a normal uterine cavity; then the incidence of endometriosis was compared in association with having a preoperative diagnosis of presumed unexplained infertility in women with a partial or complete uterine septum. RESULTS: There was no significant difference between the patients who had a uterine septum and those with a normal cavity in terms of the incidence of endometriosis (P = 0.39). Also, the incidence of endometriosis was not significantly different in patients who had a complete or partial uterine septum (P = 0.49). Endometriosis was observed in 8.7% of the patients who were presumed to have unexplained infertility in the complete uterine septum group and in 18.8% of the patients in the partial uterine septum group; but the difference was not statistically significant when complete and partial uterine septum groups were compared according to the type of infertility (partial uterine septum group, P = 0.13; complete uterine septum group, P = 0.28). CONCLUSION: An increased incidence of endometriosis was not observed in patients with a septate uterus. The reason for infertility in women with a partial uterine septum may be related to endometriosis.

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Condition tags

endometriosisinfertility

MeSH descriptors

Abortion, Spontaneous Endometriosis Infertility, Female Uterus Adult Endometriosis Female Humans Infertility, Female Laparoscopy Uterus

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References (36)

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