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Open AccessArticle

Müllerian Anomalies Prevalence Diagnosed by Hysteroscopy and Laparoscopy in Mexican Infertile Women: Results from a Cohort Study

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Department of Gynecological and Perinatal Endocrinology, Instituto Nacional de Perinatología, Mexico City 11000, Mexico
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Unit of Gynecology and Obstetrics, Department of General Surgery and Medical Surgical Specialties, University of Catania, 95123 Catania, Italy
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Division of Human Reproduction, Instituto Nacional de Perinatología, Mexico City 11000, Mexico
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Unit of Gynecology and Obstetrics, Department of Women and Children’s Health, University of Padua, 35122 Padua, Italy
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Scientific Directorate, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168 Rome, Italy
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Faculty of Medicine Universidad Veracruzana, Veracruz 91090, Mexico
*
Author to whom correspondence should be addressed.
Diagnostics 2019, 9(4), 149; https://doi.org/10.3390/diagnostics9040149
Received: 15 September 2019 / Revised: 9 October 2019 / Accepted: 15 October 2019 / Published: 17 October 2019
(This article belongs to the Special Issue Hysteroscopic Approach to Intrauterine Diseases)
Background: To evaluate the prevalence of Müllerian anomalies (MAs) in a cohort of infertile Mexican women candidates for infertility treatments (intrauterine insemination or IVF (In vitro fertilization) cycles). Methods: We performed a retrospective observational study on a cohort of consecutive women, who underwent hysteroscopy and laparoscopy as part of the basic infertility workup from 2002 to 2014, at our center. Our aim was to calculate the prevalence of MAs and each subtype. Results: A total of 4005 women were included in the study. The MA prevalence was 4.4% (95% CI; 3.8–5.1; n = 177). Among women with MAs, the prevalence of different MA types was: septate uterus 54.2% (n = 96), arcuate uterus 15.8% (n = 28), bicornuate uterus 10.7% (n = 19), unicornuate uterus 8.5% (n = 15), didelphys uterus 6.2% (n = 11) and hypoplasia/agenesis 3.4% (n = 6), unclassifiable 1.1% (n = 2). Women with MAs who achieved pregnancy were: 33.3% (n = 59). The MA associated with the highest pregnancy rate was septate uterus after hysteroscopic correction, at 38.5% (37/96). Conclusions: The prevalence of MAs among infertile Mexican women can be considered as low, but not negligible. The septate uterus is the most common MA in women with infertility. View Full-Text
Keywords: Müllerian anomalies; congenital uterine anomalies; infertility; prevalence Müllerian anomalies; congenital uterine anomalies; infertility; prevalence
MDPI and ACS Style

Reyes-Muñoz, E.; Vitale, S.G.; Alvarado-Rosales, D.; Iyune-Cojab, E.; Vitagliano, A.; Lohmeyer, F.M.; Guevara-Gómez, Y.P.; Villarreal-Barranca, A.; Romo-Yañez, J.; Montoya-Estrada, A.; Morales-Hernández, F.V.; Aguayo-González, P. Müllerian Anomalies Prevalence Diagnosed by Hysteroscopy and Laparoscopy in Mexican Infertile Women: Results from a Cohort Study. Diagnostics 2019, 9, 149.

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