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Comparison of the ESHRE-ESGE and ASRM classifications of Müllerian duct anomalies in everyday practice.

Ludwin A, Ludwin I - Hum. Reprod. (2014)

Bottom Line: The percentages of all congenital malformations and results of the differentiation between the anomaly and norm were obtained after excluding the confounding original ESHRE-ESGE criterion of dysmorphic uterus (internal indentation <50% uterine wall thickness).K/ZDS/003821).The authors have no competing interests to declare.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Oncology, Jagiellonian University, ul. Kopernika 23, Krakow 31-501, Poland Ludwin & Ludwin Gynecology, Private Medical Center, Krakow 31-511, Poland ludwin@cm-uj.krakow.pl.

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Differentiation of normal, septate and bicorporeal uterus by the ESHRE–ESGE classification system. (A–C) The use of uterine wall thickness to define uterine deformity is a serious shortcoming in the ESHRE–ESGE classification because, as an independent and variable parameter (B), it does not reflect the degree of deformation of the uterine cavity (A) and the degree of deformation of the outer structure (C).
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DEU344F5: Differentiation of normal, septate and bicorporeal uterus by the ESHRE–ESGE classification system. (A–C) The use of uterine wall thickness to define uterine deformity is a serious shortcoming in the ESHRE–ESGE classification because, as an independent and variable parameter (B), it does not reflect the degree of deformation of the uterine cavity (A) and the degree of deformation of the outer structure (C).

Mentions: A major problem of the ESHRE–ESGE classification is its classification of the most common morphological forms and possible impact for their management. In our opinion, the thickness of the uterine wall is an inappropriate morphological indicator of disorders from a methodological point of view (Ludwin et al., 2014b,c; Fig. 5). The mean thickness of the anterior and posterior walls suggested as temporary reference values (Grimbizis et al., 2014) generate overdiagnosis of septate uterus, as we expected previously (Traiman et al., 1996; Youm et al., 2011; Ludwin et al., 2014c).Figure 5


Comparison of the ESHRE-ESGE and ASRM classifications of Müllerian duct anomalies in everyday practice.

Ludwin A, Ludwin I - Hum. Reprod. (2014)

Differentiation of normal, septate and bicorporeal uterus by the ESHRE–ESGE classification system. (A–C) The use of uterine wall thickness to define uterine deformity is a serious shortcoming in the ESHRE–ESGE classification because, as an independent and variable parameter (B), it does not reflect the degree of deformation of the uterine cavity (A) and the degree of deformation of the outer structure (C).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4325671&req=5

DEU344F5: Differentiation of normal, septate and bicorporeal uterus by the ESHRE–ESGE classification system. (A–C) The use of uterine wall thickness to define uterine deformity is a serious shortcoming in the ESHRE–ESGE classification because, as an independent and variable parameter (B), it does not reflect the degree of deformation of the uterine cavity (A) and the degree of deformation of the outer structure (C).
Mentions: A major problem of the ESHRE–ESGE classification is its classification of the most common morphological forms and possible impact for their management. In our opinion, the thickness of the uterine wall is an inappropriate morphological indicator of disorders from a methodological point of view (Ludwin et al., 2014b,c; Fig. 5). The mean thickness of the anterior and posterior walls suggested as temporary reference values (Grimbizis et al., 2014) generate overdiagnosis of septate uterus, as we expected previously (Traiman et al., 1996; Youm et al., 2011; Ludwin et al., 2014c).Figure 5

Bottom Line: The percentages of all congenital malformations and results of the differentiation between the anomaly and norm were obtained after excluding the confounding original ESHRE-ESGE criterion of dysmorphic uterus (internal indentation <50% uterine wall thickness).K/ZDS/003821).The authors have no competing interests to declare.

View Article: PubMed Central - PubMed

Affiliation: Department of Gynecology and Oncology, Jagiellonian University, ul. Kopernika 23, Krakow 31-501, Poland Ludwin & Ludwin Gynecology, Private Medical Center, Krakow 31-511, Poland ludwin@cm-uj.krakow.pl.

Show MeSH
Related in: MedlinePlus