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Clinical and Experimental Obstetrics & Gynecology  2017, Vol. 44 Issue (2): 310-313    DOI: 10.12891/ceog3523.2017
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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
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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.

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

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