The Practice Committee of the American Society for Reproductive Medicine

BACKGROUND
The prevalence of congenital uterine anomalies in high-risk women is unclear, as several different diagnostic approaches have been applied to different groups of patients. This review aims to evaluate the prevalence of such anomalies in unselected populations and in women with infertility, including those undergoing IVF treatment, women with a history of miscarriage, women with infertility and recurrent miscarriage combined, and women with a history of preterm delivery.

The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review

BACKGROUND: The prevalence of congenital uterine anomalies in women with reproductive failure remains unclear, largely due to methodological bias The aim of this review is to assess the diagnostic accuracy of different methodologies and estimate the prevalence of congenital uterine anomalies in women with infertility and recurrent miscarriage (RM) METHODS: Studies from 1950 to 2007 were identified through a MEDLINE search; all relevant references were further reviewed RESULTS: The most accurate diagnostic procedures are combined hysteroscopy and laparoscopy, sonohysterography (SHG) and possibly three-dimensional ultrasound (3D US) Two-dimensional ultrasound (2D US) and hysterosalpingography (HSG) are less accurate and are thus inadequate for diagnostic purposes Preliminary studies (n= 24) suggest magnetic resonance imaging (MRI) is a relatively sensitive tool A critical analysis of studies suggests that the prevalence of congenital uterine anomalies is 67% [95% confidence interval (CI), 60‐74] in the general population, 73% (95% CI, 67‐79) in the infertile population and 167% (95% CI, 148‐186) in the RM population The arcuate uterus is the commonest anomaly in the general and RM population In contrast, the septate uterus is the commonest anomaly in the infertile population, suggesting a possible association CONCLUSIONS: Women with RM have a high prevalence of congenital uterine anomalies and should be thoroughly investigated HSG and/or 2D US can be used as an initial screening tool Combined hysteroscopy and laparoscopy, SHG and 3D US can be used for a definitive diagnosis The accuracy and practicality of MRI remains unclear

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Prevalence and diagnosis of congenital uterine anomalies in women with reproductive failure: a critical appraisal

Comparison of concomitant outcome achieved with fresh and cryopreserved donor oocytes vitrified by the Cryotop method.

https://www.fertstert.org/article/S0015-0282%2806%2900890-9/pdf

Efficiency of oocyte cryopreservation: a meta-analysis.

https://www.fertstert.org/article/S0015-0282(00)01541-7/pdf

Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: a prospective, randomized study ☆

https://www.fertstert.org/article/S0015-0282(06)04432-3/pdf

Live birth after the transfer of human embryos developed from cryopreserved oocytes harvested before cancer treatment

The relationship between the hypothalamo-pituitary-gonadal (HPG) axis and the hypothalamo-pituitary-adrenal (HPA) axis has been well documented in the rat. In most cases, a negative coupling was obser

Samuel E Brown

Papers

Evaluation of outpatient hysteroscopy, saline infusion hysterosonography, and hysterosalpingography in infertile women: a prospective, randomized study ☆

Live birth after the transfer of human embryos developed from cryopreserved oocytes harvested before cancer treatment

Timing of Initiation of the Preovulatory Luteinizing Hormone Surge and Its Relationship with the Circadian Cortisol Rhythm in the Human

Oocyte Donation using Cryopreserved Donor Oocytes

Oocyte cryopreservation/a three year follow up of sixteen births.