Journal of International Reproductive Health/Family Planning ›› 2023, Vol. 42 ›› Issue (1): 18-22.doi: 10.12280/gjszjk.20220170

• Original Article • Previous Articles     Next Articles

IVF/ICSI Outcomes in Infertility Patients with Uterine Septum after Transcervical Resection of Septum

ZHANG Yu-ting, ZHU Yuan, ZHOU Jian-jun()   

  1. Center for Reproductive Medicine and Obstetrics and Gynecology, Nanjing Drum Tower Hospital, Nanjing University Medical School, Nanjing 210008, China
  • Received:2022-03-31 Published:2023-01-15 Online:2023-02-03
  • Contact: ZHOU Jian-jun E-mail:zhou6jj@hotmail.com

Abstract:

Objective: To analyze the clinical outcomes of in vitro fertilization (IVF)/intracytoplasmic sperm injection (ICSI) treatment in those patients after transcervical resection of septum (TCRS). Methods: The data of 183 patients with uterine septum who underwent IVF/ICSI in our Center from January 2013 to July 2020 were collected. The pregnancy outcomes of the patients treated by TCRS(TCRS group, 156 cases) or no TCRS (unTCRS group, 27 cases) were analyzed. Results: There were 247 embryo transfer cycles in total. The clinical pregnancy rate was 64.0% and the live birth rate 49.0% in fresh embryo transfer cycles. In frozen embryo transfer cycles, the clinical pregnancy rate was 51.0% and the live birth rate 40.1%. There were no significant differences between the two groups in the implantation rate, clinical pregnancy rate, spontaneous abortion rate, premature birth rate, live birth rate and birth weight of newborn with single pregnancy (all P>0.05). Compared with the TCRS group, the unTCRS group had higher rate of twin pregnancy (77.8% vs. 27.3%, P=0.006), the smaller gestational week of delivery (P=0.049) and the lower newborn birth weight (P=0.005) in fresh embryo transfer cycles. There were no significant differences in above related indexes between the two groups in frozen embryo transfer cycles (all P>0.05). Conclusions: For infertility patients with uterine septum without abnormal pregnancy history, before IVF/ICSI, can be not treated by TCRS. Single embryo transfer is recommended to improve their clinical outcome.

Key words: Fertilization in vitro, Sperm injections, intracytoplasmic, Hysteroscopy, Pregnancy outcome, Uterine septum, Transcervical resection of septum