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Coexistence of endometriosis and uterine septum in patients with abortion or infertility
Author(s) -
Demir Berfu,
Dilbaz Berna,
Karadag Burak,
Duraker Rafet,
Akkurt Ozgur,
Kocak Muberra,
Goktolga Umit
Publication year - 2011
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2011.01581.x
Subject(s) - medicine , endometriosis , infertility , uterine cavity , incidence (geometry) , uterus , unexplained infertility , gynecology , obstetrics , female infertility , hysteroscopy , abortion , pregnancy , biology , genetics , physics , optics
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.