Septate uterus: diagnosis and treatment.

Introduction. The uterine malformations are caused by deficitary development of the müllerian ducts during the embryological life. With a prevalence of 1-6% in the general population, they result in an abnormal uterine cavity, which has a negative impact on fertility. The most frequent uterine malformations are represented by the septated arcuate and bicornuated uterus and result from an incomplete absorption of the müllerian ducts. Often, the differentiation between these pathologies through imagistic techniques can be troublesome. The new ASRM classification comes with remarks in this regard. The aim of the treatment is the restoration of the uterine cavity, since the reconstruction of the normal uterine anatomy is key to a better reproductive function. Materials and method. This poster describes a clinical case of uterine malformation in a 33-year-old patient with infertility, showing the diagnostic and therapeutic protocol, as well as the impact over fertility. Results. Using 3D US and ASRM criteria, the correct diagnosis of septate uterus could be placed. Hysteroscopic resection of the septum and the restoration of the uterine cavity allowed the implantation of an embryo via IVF. Conclusions. The treatment gold standard of uterine malformations is represented by hysteroscopy, which has a low risk of postoperative complications and leads to an improvement of the reproductive function. Applying the ASRM criteria, a correct diagnosis can be made with ease, allowing for the most effective treatment protocol to be followed. [ABSTRACT FROM AUTHOR]