April 4th, 2020

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Title:
Combined Laparoscopy and Hysteroscopy for the Detection of Female Genital System Anomalies: Results of 3,811 Infertile Women
Authors:  Soha Siam, M.D., and Badeea S. Soliman, M.D.
  OBJECTIVE: To assess the prevalence of Müllerian and gonadal anomalies in a group of infertile women using a combination of diagnostic laparoscopy and hysteroscopy.
Study design: This was a retrospective descriptive study in the setting of a university hospital. The records of 3,811 women who underwent laparoscopy and hysteroscopy for infertility were reviewed.

RESULTS: Müllerian duct anomalies (MDAs) were diagnosed in 287/3,811 (7.5%) women, gonadal anomalies in 40/3,811 (1.04%) women, MDAs and gonadal anomalies in 22/3,811 (0.57%) women, and “undefined anomalies” in 8/3,811 (0.2%) women. Among the 287 women with MDAs 54.9% were diagnosed with a septate uterus, 14.2% with an arcuate uterus, 10.2% with a bicornuate uterus, 5.8% with a unicornuate uterus, 4.7% with tubal anomalies, 3.6% with a hypoplastic uterus, 2.9% with Müllerian agenesis, 1.8% with a septate uterus and a double cervix, 1.1% with uterus didelphys, and 0.7% with a longitudinal vaginal septum. Among the 40 women with gonadal anomalies 70% were diagnosed with hypoplastic ovaries, 25% with streak gonads, and 5% with an accessory ovary. Among the 22 women with combined Müllerian and gonadal anomalies 50% were diagnosed with streak gonads and a hypoplastic uterus, 31.8% with a hypoplastic uterus and hypoplas-tic ovaries, and 18.2% with ovarian and tubal anomalies.

CONCLUSION: Combined laparoscopy and hysteroscopy are valuable tools for the diagnosis and classification of female genital system anomalies.
Keywords:  female genital system anomalies, female genital tract, gonadal anomalies, hysteroscopy, infertility, laparoscopy, Mullerian anomalies
   
   
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