Uterine malformations: Surgery or MAR first in 2023? (notice n° 190519)

détails MARC
000 -LEADER
fixed length control field 01983cam a2200205 4500500
005 - DATE AND TIME OF LATEST TRANSACTION
control field 20250112044404.0
041 ## - LANGUAGE CODE
Language code of text/sound track or separate title fre
042 ## - AUTHENTICATION CODE
Authentication code dc
100 10 - MAIN ENTRY--PERSONAL NAME
Personal name Pourcelot, Anne-Gaëlle
Relator term author
245 00 - TITLE STATEMENT
Title Uterine malformations: Surgery or MAR first in 2023?
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2023.<br/>
500 ## - GENERAL NOTE
General note 55
520 ## - SUMMARY, ETC.
Summary, etc. The T-shaped uterus (U1 in the ESHRE classification) and the septate uterus (U2) are rare uterine malformations. The reference examination for the diagnosis of these malformations is 3D ultrasound, sometimes alongside sonography. The presence of one of these malformations is traditionally associated with a decrease in fertility and an increase in the rate of miscarriages. It also seems to be linked to an increase in the rate of implantation failure in assisted reproduction. Enlargement plasty (or metroplasty) and section of the septum, which are performed by hysteroscopy, are the respective reference treatments for these two pathologies. The surgery is not very high risk, easy to perform, and gives good anatomical results. The impact of surgery on fertility and obstetric prognosis seems to be positive. However, the data in the literature are poor, with studies having a low level of evidence. No randomized trial (except one for septate uterus) has been conducted to date. It is therefore difficult, based on these data alone, to systematically recommend first-line surgery to improve fertility or obstetrical prognosis. In our view, given the 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 Debras, Elodie
Relator term author
700 10 - ADDED ENTRY--PERSONAL NAME
Personal name Jegaden, Margaux
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 | 25 | 1 | 2023-01-01 | p. 6-11 | 2650-8427
856 41 - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier <a href="https://shs.cairn.info/journal-medecine-de-la-reproduction-2023-1-page-6?lang=en">https://shs.cairn.info/journal-medecine-de-la-reproduction-2023-1-page-6?lang=en</a>

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