Soha Siam1, Badeea S Soliman. 1. Department of Obstetrics and Gynecology, Zagazig University, Egypt.
Abstract
OBJECTIVE: To assess the prevalence of Mullerian and gonadal anomalies in a group of infertile women using a combination of diagnostic laparoscopy and hysteroscopy. STUDY DESIGN: This was a retrospective descriptive study in the setting of a university hospital. The records of 3,811 women who underwent laparoscopy and hysteroscopy for infertility were reviewed. RESULTS: Mullerian duct anomalies (MDAs) were diagnosed in 287/3,811 (7.5%) women, gonadal anomalies in 40/3,811 (1.04%) women, MDAs and gonadal anomalies in 22/3,811 (0.57%) women, and "undefined anomalies" in 8/3,811 (0.2%) women. Among the 287 women with MDAs 54.9% were diagnosed with a septate uterus, 14.2% with an arcuate uterus, 10.2% with a bicornuate uterus, 5.8% with a unicornuate uterus, 4.7% with tubal anomalies, 3.6% with a hypoplastic uterus, 2.9% with Mullerian agenesis, 1.8% with a septate uterus and a double cervix, 1.1% with uterus didelphys, and 0.7% with a longitudinal vaginal septum. Among the 40 women with gonadal anomalies 70% were diagnosed with hypoplastic ovaries, 25% with streak gonads, and 5% with an accessory ovary. Among the 22 women with combined Mullerian and gonadal anomalies 50% were diagnosed with streak gonads and a hypoplastic uterus, 31.8% with a hypoplastic uterus and hypoplastic ovaries, and 18.2% with ovarian and tubal anomalies. CONCLUSION: Combined laparoscopy and hysteroscopy are valuable tools for the diagnosis and classification of female genital system anomalies.
OBJECTIVE: To assess the prevalence of Mullerian and gonadal anomalies in a group of infertile women using a combination of diagnostic laparoscopy and hysteroscopy. STUDY DESIGN: This was a retrospective descriptive study in the setting of a university hospital. The records of 3,811 women who underwent laparoscopy and hysteroscopy for infertility were reviewed. RESULTS:Mullerian duct anomalies (MDAs) were diagnosed in 287/3,811 (7.5%) women, gonadal anomalies in 40/3,811 (1.04%) women, MDAs and gonadal anomalies in 22/3,811 (0.57%) women, and "undefined anomalies" in 8/3,811 (0.2%) women. Among the 287 women with MDAs 54.9% were diagnosed with a septate uterus, 14.2% with an arcuate uterus, 10.2% with a bicornuate uterus, 5.8% with a unicornuate uterus, 4.7% with tubal anomalies, 3.6% with a hypoplastic uterus, 2.9% with Mullerian agenesis, 1.8% with a septate uterus and a double cervix, 1.1% with uterus didelphys, and 0.7% with a longitudinal vaginal septum. Among the 40 women with gonadal anomalies 70% were diagnosed with hypoplastic ovaries, 25% with streak gonads, and 5% with an accessory ovary. Among the 22 women with combined Mullerian and gonadal anomalies 50% were diagnosed with streak gonads and a hypoplastic uterus, 31.8% with a hypoplastic uterus and hypoplastic ovaries, and 18.2% with ovarian and tubal anomalies. CONCLUSION: Combined laparoscopy and hysteroscopy are valuable tools for the diagnosis and classification of female genital system anomalies.
Authors: J F W Rikken; K W J Verhorstert; M H Emanuel; M Y Bongers; T Spinder; W K H Kuchenbecker; F W Jansen; J W van der Steeg; C A H Janssen; K Kapiteijn; W A Schols; B Torrenga; H L Torrance; H R Verhoeve; J A F Huirne; A Hoek; T E Nieboer; I A J van Rooij; T J Clark; L Robinson; M D Stephenson; B W J Mol; F van der Veen; M van Wely; M Goddijn Journal: Hum Reprod Date: 2020-07-01 Impact factor: 6.918
Authors: J F W Rikken; C R Kowalik; M H Emanuel; M Y Bongers; T Spinder; J H de Kruif; K W M Bloemenkamp; F W Jansen; S Veersema; A G M G J Mulders; A L Thurkow; K Hald; A Mohazzab; Y Khalaf; T J Clark; M Farrugia; H A van Vliet; M S Stephenson; F van der Veen; M van Wely; B W J Mol; M Goddijn Journal: BMC Womens Health Date: 2018-10-05 Impact factor: 2.809