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Journals / Journal of Health Sciences and Medicine / 2026 / Volume: 5 Issue: 5

Does uterine septum resection improve IVF treatment success?

Munire Funda Cevher Akdulum(GAZİ ÜNİVERSİTESİ, TIP FAKÜLTESİ)0000-0003-2285-7112
Erhan Demirdağ(GAZI UNIVERSITY, SCHOOL OF MEDICINE, MEDICINE PR.)0000-0003-4599-3854
Seçil İrem Arık(GAZI UNIVERSITY, SCHOOL OF MEDICINE, MEDICINE PR.)0000-0001-9512-533X
Mehmet Erdem(GAZI UNIVERSITY, SCHOOL OF MEDICINE, MEDICINE PR.)0000-0003-4396-2149
Nuray Bozkurt(GAZI UNIVERSITY, SCHOOL OF MEDICINE, MEDICINE PR.)0000-0002-1107-9629
Mesut Oktem(GAZI UNIVERSITY, SCHOOL OF MEDICINE, MEDICINE PR.)0000-0002-5555-8189
İsmail Güler(GAZI UNIVERSITY, SCHOOL OF MEDICINE, MEDICINE PR.)0000-0002-8098-2483
Ahmet Erdem(GAZI UNIVERSITY, SCHOOL OF MEDICINE, MEDICINE PR.)0000-0002-1950-9670
Pages
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Publication Date
2022-09-25
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

There is insufficient evidence to perform septum resection in patients with uterine septum prior to infertility treatment.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Aim: Uterine septum is the most common type of congenital uterine malformation.
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Key Findings & Data:Material and Method: 7790 patients were scanned retrospectively. 110 patients with the uterine septum and unexplained infertility were included in the study.
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Conclusion & Impact:There is insufficient evidence to perform septum resection in patients with uterine septum prior to infertility treatment.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Infertility · IVF · septum resection

Abstract

Aim: Uterine septum is the most common type of congenital uterine malformation. The septum has also been suggested as a potential cause of infertility. The role of the septum in infertility and whether the septum can be resected is debatable. We aimed to reveal the results of assisted reproductive techniques in patients with septate uterus according to whether or not resection is performed. Material and Method: 7790 patients were scanned retrospectively. 110 patients with the uterine septum and unexplained infertility were included in the study. Patients who underwent uterine septum resection were recorded. The clinical pregnancies of patients were compared according to whether or not resection was performed. In addition, patients with complete septum were evaluated according to whether or not resection was performed, and their clinical pregnancies were evaluated. Results: It was revealed that 79 of the patients with uterine septum underwent septum resection operation. It was determined that 31 patients were not treated. Clinical pregnancy rates were found to be statistically significantly higher in the expectant management group (p=0.02). In addition, comparing the clinical pregnancy rates of the resection and expectant management groups in patients with a complete septum, no significant difference was found between the groups (p=0.134). Conclusion: In our study, the success of treatment with assisted reproductive techniques did not change after septum resection. Although uterine septum resection is a simple and safe method, it has disadvantages such as the development of adhesions and rupture in the uterus. There is insufficient evidence to perform septum resection in patients with uterine septum prior to infertility treatment.

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Cite This Article

Akdulum, M. F. C., Demirdağ, E., Arık, S. İ., Erdem, M., Bozkurt, N., Oktem, M., Güler, İ., Erdem, A. (2022). Does uterine septum resection improve IVF treatment success?. Journal of Health Sciences and Medicine, Volume: 5 Issue: 5. https://doi.org/10.32322/jhsm.1133577

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