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Hum. Reprod. Advance Access originally published online on October 6, 2005
Human Reproduction 2006 21(2):542-544; doi:10.1093/humrep/dei344
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© The Author 2005. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Is there an association between septate uterus and endometriosis?

Frank Nawroth1,3, Gohar Rahimi2, Claudia Nawroth2, Dolores Foth2, Michael Ludwig1 and Torsten Schmidt2

1 Endokrinologikum Hamburg, Centre for Hormone and Metabolic Diseases, Reproductive Medicine and Gynaecological Endocrinology, and 2 Department of Obstetrics and Gynaecology, University of Cologne, Germany

3 To whom correspondence should be addressed at: Endokrinologikum Hamburg, Zentrum für Hormon- und Stoffwechselerkrankungen, Reproduktionsmedizin und Gynäkologische Endokrinologie, Lornsenstrasse 4–6, D-22767 Hamburg, Germany. E-mail: Frank.Nawroth{at}Endokrinologikum.com

BACKGROUND: The question of whether Müllerian anomalies are significantly more often combined with endometriosis is a controversially discussed problem. Some publications described this association in patients with obstructive but not non-obstructive Müllerian anomalies or controls without Müllerian anomalies. The aim of this study was to evaluate the incidence of endometriosis in patients with a septate uterus as a non-obstructive form of Müllerian anomalies. METHODS: In a retrospective study, we evaluated 120 patients (29.4 ± 4.7 years; mean ± SD) with a septate uterus. The control group consisted of 486 consecutive infertile patients (30.8 ± 6.3 years) with a normal hysteroscopy and laparoscopy. RESULTS: The incidence of dysmenorrhoea was comparable in both groups, but the incidence of endometriosis was significantly higher in patients with a septate uterus (25.8 versus 15.2%, P = 0.006). CONCLUSION: Our results suggest a higher incidence of endometriosis in patients with a septate uterus. If it can be confirmed by others, the initial finding of a septate uterus in infertile patients should be followed by a combined hysteroscopy and laparoscopy.

Key words: endometriosis/infertility/Müllerian anomaly/septate uterus/uterine malformation


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[Abstract] [Full Text] [PDF]


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