Metroplasty for a T-shaped uterus: What impact does it have on fertility? (notice n° 1719898)

détails MARC
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control field 20260322002025.0
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Language code of text/sound track or separate title fre
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100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Pourcelot, Anne-Gaëlle
Relator term author
245 00 - TITLE STATEMENT
Title Metroplasty for a T-shaped uterus: What impact does it have on fertility?
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Date of publication, distribution, etc. 2022.<br/>
500 ## - GENERAL NOTE
General note 48
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Summary, etc. T-shaped uterus (U1 in the ESHRE classification), initially described in cases of in-utero exposure to Distilbene®, is a rare uterine malformation characterized by a small uterine volume alongside an excess of myometrium in the uterine side walls. The gold standard for diagnosing this malformation is 3D ultrasound, sometimes accompanied by sonography. The presence of a U1 uterus tends to be associated with decreased fertility and an increased rate of miscarriages. It also appears to be associated with an increased rate of implantation failure in medically assisted reproduction. Enlargement surgery (or metroplasty), which is performed by hysteroscopy, is the standard treatment. It does not cause any harm, is easy to perform, and gives good anatomical results. The impact of surgery on fertility and obstetric prognosis appears to be positive. Nevertheless, the data in the literature are poor, with studies having low levels of evidence. No randomized trials have been conducted to date. Based on these data alone, it is therefore difficult to systematically recommend metroplasty in order to improve fertility or the obstetric prognosis. In our opinion, in view of the nonetheless positive results in the literature, each situation must be assessed on a case-by-case basis and surgery can be proposed, especially when no other cause has been found.
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Jegaden, Margaux
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Debras, Elodie
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Levaillant, Jean-Marc
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Capmas, Perrine
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Fernandez, Hervé
Relator term author
786 0# - DATA SOURCE ENTRY
Note Médecine de la Reproduction | 24 | 1 | 2022-01-01 | p. 100-105 | 2650-8427
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://stm.cairn.info/journal-medecine-de-la-reproduction-2022-1-page-100?lang=en&redirect-ssocas=7080">https://stm.cairn.info/journal-medecine-de-la-reproduction-2022-1-page-100?lang=en&redirect-ssocas=7080</a>

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