Incidence of congenital uterine abnormalities in polycystic ovarian syndrome (CONUTA Study)

Aslan, Kiper; Albayrak, Ozge; Orhaner, Aylin; Kasapoğlu, Işıl; Uncu, Gürkan

doi:10.1016/j.ejogrb.2022.02.012

Cited by 5 publications

(8 citation statements)

References 30 publications

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“…These features seem indispensable to perform this study. However, subjects with PCOS in this study had lesser septate uterus as compared to previous reports 7–11 . We are not certain whether it was because of the limitation of this study, or Japanese characteristics, or the strict definition in the ASRM classification 2021.…”

Section: Discussioncontrasting

confidence: 63%

“…However, subjects with PCOS in this study had lesser septate uterus as compared to previous reports. [7][8][9][10][11] We are not certain whether it was because of the limitation of this study, or Japanese characteristics, or the strict definition in the ASRM classification 2021. Moreover, this observational study did not intend to assess the relationship between uterine morphology and reproductive outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…The Congenital Uterine Malformation by Experts criteria‐2020 26 and the ASRM classification‐2021 13 might have improved diagnostic accuracy. A retrospective cohort study based on these newly developed criteria showed that patients with PCOS had fewer rates of normal uterine cavities and more frequent occurrences of septate or dysmorphic uterus, although the incidence of arcuate uterus was not increased 11 . However, because these diagnostic criteria are not uniform in detail, discrepancies in diagnosis are inevitable, especially in distinguishing arcuate, septate, and normal uterine morphologies.…”

Section: Discussionmentioning

confidence: 99%

“… 6 Other congenital features in women with PCOS are uterine anomalies arising from a defect in development of the Müllerian ducts. Although a high incidence of uterine anomalies in infertile patients with PCOS has been reported, 7 , 8 , 9 , 10 , 11 the diagnostic criteria or classifications for uterine anomalies have not been unified, so the different criteria have resulted in different reported prevalence rates and types of anomalies. Therefore, we conducted this study to evaluate any differences in uterine morphology between women with or without PCOS by measuring uterine shapes in detail using three‐dimensional ultrasound (3D‐US).…”

Section: Introductionmentioning

confidence: 99%

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Shapes of the uterine cavity are different in women with polycystic ovary syndrome

Fujii¹,

Oguchi²

2023

Reprod Medicine & Biology

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Purpose A cross‐sectional study was conducted to evaluate differences in uterine morphology between women with or without polycystic ovary syndrome. Methods The authors recruited 333 infertile reproductive‐age women including 93 with polycystic ovary syndrome diagnosed using the criteria of the Japanese Society of Obstetrics Gynecology‐2007. Shapes of uterine cavity were measured by transvaginal three‐dimensional ultrasound. Results The polycystic ovary syndrome group had a significantly deeper indentation (2.2 ± 0.4 mm vs. 0.0 ± 0.2 mm, p < 0.0001) and a significantly more acute indentation angle (162.9 ± 2.2 deg vs. 175.2 ± 1.3 deg, p < 0.0001) than the control group. Conclusion The depth and the apical angle of fundal indentation of uterine cavity are different in women with polycystic ovary syndrome.

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Section: Discussioncontrasting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Shapes of the uterine cavity are different in women with polycystic ovary syndrome

Fujii¹,

Oguchi²

2023

Reprod Medicine & Biology

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“…Most uterine septum could be discovered earlier especially for infertility evaluation [9,10]. The symptoms in our case were subtle.…”

Section: Discussionmentioning

confidence: 61%

Delayed Diagnosis of Uterine Septum at Late Pregnancy

Zhu¹,

Fu²

2023

J Gynecol Res Rev Rep

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Uterine septum is one kind of Müllerian duct anomaly with a prevalence ranging from 2.3% [1, 2]. Some cases are asymptomatic which are incidentally detected on the ultrasound and obstetric surveillance is recommended; others are associated with infertility, recurrent pregnancy loss or preterm labor [3- 5]. Expectant management and serial sonographic scanning are required. Salpingography and three-dimensional ultrasound helps to detect uterine anomalies [6, 7]. Hysteroscopic examination is valuable on the condition of either diagnosis or treatment before pregnancy [8]. However, ultrasonographic diagnosis turn to be difficult due to the septa shielded by the fetus and placenta. Here we present a case of delayed diagnosis of uterine septum developed from 14-33 gestational weeks (GW). The initial impression of the sonographic image interfered our judgment.

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A survey of the frequency of polycystic ovary morphology in infertile patients with uterine abnormalities

Irani,

Najafi,

Vesali

et al. 2024

Preprint

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Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder affecting women of reproductive age. Several studies have shown an association between PCOS and mullerian anomalies. The study aims to evaluate the prevalence of polycystic ovary morphology (PCOM) in infertile patients with uterine anomalies (septate and arcuate uterine) who attended the Royan Research Institute in Tehran (Iran) between January 2021 and December 2022. Methods: The current cross-sectional study was conducted on a total of 884 women who were experiencing infertility and referred to our Institute for 3D-hysterosonography. These women were divided into two groups: the first group consisted of 127 infertile women with uterine anomalies, while the second group included 757 infertile women without uterine anomalies. The employed sampling method was convenience and available. The necessary data were acquired from the patients' files. Subsequently, the frequency of polycystic ovary morphology (PCOM) was assessed and compared between the two groups. Result: Of the 884 patients with infertility who were evaluated, a total of 127 women (14.4%) were found to have uterine anomalies (septate and arcuate anomalies), while the remaining 757 women (85.6%) did not exhibit any such abnormalities. In the subgroup of patients with uterine anomalies, 112 women (88.1%) exhibited arcuate uterine, and 15 women (11.9%) presented with septate uterine. Our study demonstrated that the frequency of PCOM in patients with uterine anomalies was 40.9% (52 women) and in those without such anomalies was 14/7% (111 women) (p=0.0001). Conclusion: According to the study's findings, the prevalence of polycystic ovary morphology in women who have uterine anomalies is higher than in women without these anomalies.

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Incidence of congenital uterine abnormalities in polycystic ovarian syndrome (CONUTA Study)

Cited by 5 publications

References 30 publications

Shapes of the uterine cavity are different in women with polycystic ovary syndrome

Shapes of the uterine cavity are different in women with polycystic ovary syndrome

Delayed Diagnosis of Uterine Septum at Late Pregnancy

A survey of the frequency of polycystic ovary morphology in infertile patients with uterine abnormalities

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