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The correlation between dysmorphic uterus and infertility still remains enigmatic. We aim to evaluate the reproductive outcomes of metroplasty via office hysteroscopy in unexplained infertile women with dysmorphic uterus with comparing a group of unexplained infertile women performing 6 months spontaneous cycles plus 3 cycles controlled ovarian hyperstimulation and intrauterine insemination by randomized trial.
A dysmorphic uterus is a second-class (Class U1) uterine anomaly in the The European Society of Human Reproduction and Embryology (ESHRE) and the European Society for Gynaecological Endoscopy (ESGE) (ESHRE/ESGE) consensus on the classification of congenital genital tract anomalies, which was formerly known as "T-shaped uterus" in the American Fertility Society (AFS) Classification of Anomalies of the Müllerian Duct that leads to poor reproductive and obstetric outcomes.
The reproductive performance of dysmorphic uterus is not well-known issue. We designed a randomized trial in unexplained infertile couples women with dysmorphic uterus. After allocation of properly selected women, hysteroscopy group will be undertaken metroplasty procedure and 9 months follow-up period with natural conception. Second group will be undertaken to six months spontaneous coitus and three cycles clomiphene citrate and intrauterine insemination cycles. After nine months of follow-up of both groups, the pregnancy and reproductive outcomes will be evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention arm: Hysterocopy group | Active Comparator | Office hyteroscopic metroplasty will be performed. After oparetion 9 months spontaneous conception Intervention arm for hysteroscopy group |
|
| Spontaneous cycles plus COH/IUI | No Intervention | Six months spontaneous coitus cycles plus 3 cycles of Clomiphene citrate and intrauterine insemination (COH/IUI) |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| office hysteroscopic metroplasty intervention arm | Procedure | One group will be performed hysteroscopic metroplasty Second group will be undertaken to six months spontaneous coitus and three cycles of COH/IUI |
| Measure | Description | Time Frame |
|---|---|---|
| clinical pregnancy rate (CPR) | Intrauterine gestational sac with viable fetal heart rate | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| abortion | the loss of pregnancy | 10 weeks |
| ectopic pregnancy rate | gestation with out of uterine cavity | 10 weeks |
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Inclusion Criteria:
Unexplained infertile couples with;
2. Bilateral patent tubes in hysterosalpingography 3. Normal ovarian reserve (AMH >1.5 ng/dl and/or total bilateral antral follicle count >8)
Exclusion Criteria:
women with dysmorphic uterus
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| Name | Affiliation | Role |
|---|---|---|
| Bulent Haydardedeoglu, Assoc.Prof. | Baskent University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Bulent Haydardedeoglu | Adana | 01120 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D011271 | Pregnancy, Ectopic |
| ID | Term |
|---|---|
| D011248 | Pregnancy Complications |
| D005261 | Female Urogenital Diseases and Pregnancy Complications |
| D000091642 | Urogenital Diseases |
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prospective randomised trial
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