Comparison of the ESHRE-ESGE and ASRM classifications of Müllerian duct anomalies in everyday practice.
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.
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 firstname.lastname@example.org.Show MeSH
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Mentions: The most important clinical implication here is to draw the attention of the medical community toward the risks of overdiagnosis and overtreatment of septate uterus associated with the ESHRE–ESGE criteria. Together with our previous results (Ludwin et al., 2014c), our study findings strongly warrant changing the ESHRE–ESGE criteria and discontinuing the use of uterine wall thickness as a reference value to detect internal and external structural distortions. The ESHRE–ESGE criteria should not be used to diagnose septate uterus and deem the patient eligible for hysteroscopic metroplasty if the uterus is classified as normal by ASRM (Fig. 6).Figure 6
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 email@example.com.