Konjenital or acquired uterine hysterescopic repairs after pregnancy pathology the results infertile patients

ABSTRACT Aim: The aim of this study was to evaluate the pregnancy outcomes following hysteroscopic repair in women that were admitted with primary or secondary infertility and diagnosed with congenital or acquired uterine abnormalities. Materials and Methods: With this study patients who applied to Dicle University Medical School Gynecology and Obstetrics Department with primary or secondary infertility were underwent hysteroscopy and salpingography (H/S) between January 2011 and December 2014. During the operation patients having a congenital or acquired intrauterin pathology were operated. Patients who had an intervention were contacted on the phone after accessing their phone numbers available in the hospital records. Information about the research was given to patients and informed verbal consent was obtained from each patient. The patients were asked a number of questions regarding preoperative age, gravida, parity, number of children alive, and other demographic characteristics. All the patients underwent diagnostic L/S at first and then H/S. The patients detected with pathology also underwent operative H/S. After the operation pregnancy outcomes were evaluated. Results: Primary infertility (PI) was detected 46%(n=24) and secondary infertility (SI) 54%(n=28) of patients. No pregnancy occurred in patients with primary infertility. Sixty five pregnancies occurred in patients with SI. Of these pregnancies 69.23% (n=45) ended up with spontaneous abortion, 20% (n=13) term delivery, and 10.76% (n=7) preterm delivery. The rate of live birth was 53.5% per patient in SI. After the operation 17 live birth was detected in PI. The rate of live birth was 58.3% per patient in PI after the operation. Of these pregnancies 11.7% (n=2) were ended up with spontaneous abortion, 11.7% (n=2) preterm labor, and 76.4% (n=13) term delivery. After the operation 31 pregnancies were detected in SI. After the operation the rate of live birth was 67.8% per patient in SI. Of these pregnancies 32%(n=10) were spontaneous abortion, 12,9 % (n=4) preterm labor, 54,8% (n=17) term delivery. Conclusion: In patients that were infertile and were operated on due to a congenital and/or acquired abnormality in the uterine cavity, the rate of spontaneous abortion decreased while the rate of term delivery and live birth increased. Key words: Infertility, congenital uterine abnormality, hysteroscopy