Please wait a minute...
Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (2): 310-313    DOI: 10.12891/ceog3523.2017
Case Report Previous articles | Next articles
Do the types of treatments after hysteroscopic resection of septate uterus cause different results?
S. Esmaeilzadeh1, M.A. Delavar2, M.G. Andarieh3, *()
1 Infertility and Reproductive Health Research Center, Health Research Institute, Department of Obstetrics and Gynecology, Babol University of Medical Sciences, Babol, Iran
2 Infertility and Reproductive Health Research Center, Health Research Institute, Department of Midwifery, Babol University of Medical Sciences, Babol, Iran
3 Infertility and Reproductive Health. Infertility and Reproductive Health Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
Download:  PDF
Export:  BibTeX | EndNote (RIS)      
Abstract  
Background: Two protocols are generally performed after the following hysteroscopic resection of septate uterus to prevent Asherman’s syndrome in Iran. The aim of this study was to assess and compare the postoperative complication rate by alternate and constant therapy following hysteroscopic septum resection procedure. Materials and Methods: The authors conducted a retrospective interventional study on secondary data obtained from the medical records of 106 infertile women with septate uterus who underwent a hysteroscopic resection between April 2005 and February 2014. After septum resection, 71 patients received alternate hormonal therapy and 35 patients received constant hormonal therapy. All the women were followed-up postoperatively with interview and physical examination for more than six months. Results: Of the 71 women who received alternate hormonal therapy, 16 (22.5%) had spotting. While in the constant protocol therapy group, the rate of the spotting during the follow-up period was reported in 13 (37.1%) patients. There was no significant difference between the two groups in terms of spotting complication after the septum resection. Self-reported breast tenderness as complications of hormonal therapy after septum resection in constant protocol was greater than in alternate protocol group (21.1% vs. 60.0%) (p < 0.0001). Conclusion: The result of this study indicated that hormonal therapy complications following hysteroscopic resection of septate uterus in both protocols was the same.
Key words:  Resection of septate uterine      Treatment protocols      Hysteroscopy      Spotting     
Published:  10 April 2017     
*Corresponding Author(s):  MARYAM GHANBARI ANDARIEH     E-mail:  maryam.ghanbariandarieh@gmail.com

Cite this article: 

S. Esmaeilzadeh, M.A. Delavar, M.G. Andarieh. Do the types of treatments after hysteroscopic resection of septate uterus cause different results?. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 310-313.

URL: 

https://ceog.imrpress.com/EN/10.12891/ceog3523.2017     OR     https://ceog.imrpress.com/EN/Y2017/V44/I2/310

[1] G. Garuti, E. Castellacci, S. Calabrese, S. Calzolari. Hysteroscopic removal of retained products of conception withenhanced vascularity: a study of reliability[J]. Clinical and Experimental Obstetrics & Gynecology, 2020, 47(4): 472-477.
[2] S.B. Cohen, M. Shapira, A. Baron, J. Bouaziz, R. Mashiach, M. Goldenberg, R. Orvieto. Ultrasonography-guided hysteroscopic tubal catheterization of proximally occluded tubes - reproductive outcomes[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 872-875.
[3] Y. Wang, F.Y. Luo, Y.D. Xia, L. Mei, L. Xie, H.X. Liu. Clinical analysis of 211 cases of cesarean scar pregnancy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(6): 948-952.
[4] L. Giannella, K. Mfuta, L. B. Cerami, F. Boselli. Does uterine position affect pain intensity during outpatient diagnostic hysteroscopy?[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(5): 787-791.
[5] A. Pontis, L. Nappi, F. Sorrentino, S. Angioni. Differential diagnosis of adenomyosis: the role of hysteroscopy and laparoscopy[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 511-515.
[6] A. Le, L. Yang, Z. Wang, X. Y. Dai, T. H. Xiao, R. Zhuo, R. Yuan, T. Tulandi. Two cases of uterine and vaginal malformations[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(4): 658-660.
[7] I. Rudic Biljic-Erski, M. Vasiljevic, S. Rakic, S. Mihajlovic, O.D. Smiljkovic. The impact of hysteroscopic myomectomy on fertility and pregnancy outcomes of infertile women according characteristics of submucous fibroids[J]. Clinical and Experimental Obstetrics & Gynecology, 2019, 46(2): 235-240.
[8] Lin-lin Guan, Hua-li Wang, Lan-zhou Jiao. Treatment of uterine artery pseudoaneurysm by embolization or hysteroscopy combined with laparoscopy: two case reports[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(6): 959-962.
[9] J.H. Check, E. Chang. No evidence to support the concept that endometrial polyps impair fertility in the majority of cases[J]. Clinical and Experimental Obstetrics & Gynecology, 2018, 45(2): 159-162.
[10] G. Garuti, S. Calabrese, G. Baudino, C. Reato, L. Quirino, M. Di Mario. Hysteroscopic removal of cesarean scar pregnancy after primary therapy with methotrexate: a case series[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(6): 856-861.
[11] A. Cohen, Y. Cohen, S. Sualhi, S. Rayman, F. Azem, G. Rattan. Office hysteroscopy for removal of retained products of conception: can we predict treatment outcome?[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(5): 683-685.
[12] M.K. Eken, F. Gungor Ugurlucan, G. Ilhan, E. Çöğendez, B. Devranoğlu, B. Keyif, A. Turfanda. Comparison of office hysteroscopy and dilatation & curettage regarding patient comfort, efficacy and quality of life in patients suffering from menorrhagia: prospective randomized study[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 599-604.
[13] I. Mazzon, A. Favilli, M. Grasso, V. Moretti, G. Soda, S. Gerli. Intramural uterine hemangioma: an insidious trap of a rare pathology. A case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(4): 624-626.
[14] T. Issat, J. Beta, M.A. Nowicka, A. Durczyński, A.J. Jakimiuk. Pain assessment during outpatient hysteroscopy using room temperature versus warm normal saline solution as a distention medium – a prospective randomized study[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(3): 359-363.
[15] F. Chen, H. Duan, Y. Zhang, Y. Liu, X. Wang, Y. Guo. A giant nabothian cyst with massive abnormal uterine bleeding: a case report[J]. Clinical and Experimental Obstetrics & Gynecology, 2017, 44(2): 326-328.
No Suggested Reading articles found!