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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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Normal uterus by ASRM with the same length of internal fundal indentation in coronal view (top row); may be recognized paradoxically by ESHRE-ESGE as a septate (case on left) or normal uterus (case on right) depending on the thickness of the uterine wall in the sagittal view (bottom row).
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DEU344F6: Normal uterus by ASRM with the same length of internal fundal indentation in coronal view (top row); may be recognized paradoxically by ESHRE-ESGE as a septate (case on left) or normal uterus (case on right) depending on the thickness of the uterine wall in the sagittal view (bottom row).

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


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

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

Normal uterus by ASRM with the same length of internal fundal indentation in coronal view (top row); may be recognized paradoxically by ESHRE-ESGE as a septate (case on left) or normal uterus (case on right) depending on the thickness of the uterine wall in the sagittal view (bottom row).
© Copyright Policy - creative-commons
Related In: Results  -  Collection

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

DEU344F6: Normal uterus by ASRM with the same length of internal fundal indentation in coronal view (top row); may be recognized paradoxically by ESHRE-ESGE as a septate (case on left) or normal uterus (case on right) depending on the thickness of the uterine wall in the sagittal view (bottom row).
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

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