Hysteroscopic metroplasty in the diethylstilbestrol-exposed uterus and similar nonfusion anomalies: effects on subsequent reproductive performance; a preliminary report.

OBJECTIVE

To determine the feasibility of correcting the uterine abnormalities seen in diethylstilbestrol (DES)-exposed women and similar anomalies.

DESIGN

Patients served as their own controls.

SETTING

University based and private practice tertiary referral practice.

PATIENTS: Eight patients referred for infertility, recurrent pregnancy loss, or both with an abnormal uterine contour as seen by hysterosalpingogram.

INTERVENTION: Hysteroscopic metroplasty.

OUTCOME MEASURES: Ability to conceive and carry pregnancy to livebirth.

RESULTS

Three of five patients with secondary infertility and recurrent pregnancy losses had livebirths as did a patient with secondary infertility. Two patients with primary infertility failed to conceive.

CONCLUSION

Metroplasty may decrease pregnancy loss in these patients but may not enhance fertility.