Evidence-based diagnosis and treatment for uterine septum: a guideline

To provide evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum.

This guideline provides evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum. This replaces the last version of the same name (Fertil Steril. 2016 Sep 1;106(3):530-40).

Outcomes of interest included the impact of a septum on underlying fertility, live birth, clinical pregnancy, and obstetrical outcomes.

The literature search identified relevant studies to inform the evidence for this guideline.

The treatment of uterine septa and subsequent outcomes associated with infertility, recurrent pregnancy loss, and adverse obstetrical outcomes are summarized. Resection of a septum has been shown to improve outcomes in patients with recurrent pregnancy loss and to decrease the likelihood of malpresentation. In the setting of infertility, it is recommended to use a shared decision-making model after appropriate counseling to determine whether or not to proceed with septum resection.

Published by Fertility and sterility, 2024. The guideline itself is at the source linked here.

doi.org/10.1016/j.fertnstert.2024.02.033