4. Diagnosis and Management of Uterine Infertility

  1. Emre Seli MD1,2,3
  1. Beth W. Rackow MD

Published Online: 8 MAR 2011

DOI: 10.1002/9781444393958.ch4

Infertility

Infertility

How to Cite

Rackow, B. W. (2011) Diagnosis and Management of Uterine Infertility, in Infertility (ed E. Seli), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444393958.ch4

Editor Information

  1. 1

    Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University School of Medicine, New Haven, Connecticut, USA

  2. 2

    Division of Reproductive Endocrinology and Infertility, Yale University School of Medicine, New Haven, Connecticut, USA

  3. 3

    Oocyte Donation and Gestational Surrogacy Program, Yale University School of Medicine, New Haven, Connecticut, USA

Author Information

  1. Division of Reproductive Endocrinology and Infertility, Yale University School of Medicine, New Haven, Connecticut, USA

Publication History

  1. Published Online: 8 MAR 2011
  2. Published Print: 23 MAR 2011

Book Series:

  1. Gynecology in Practice

Book Series Editors:

  1. Aydin Arici

ISBN Information

Print ISBN: 9781444333534

Online ISBN: 9781444393958

SEARCH

Keywords:

  • uterine infertility - diagnosis and management;
  • implantation, placentation processes - and embryo development, dependent on uterus;
  • implantation, complex process - beginning 6–7 days after fertilization;
  • imaging techniques, evaluating uterus and uterine cavity - transvaginal ultrasonography (TVS), hysterosalpingography (HSG), saline-infusion sonography (SIS);
  • uterine anomalies - increased risk of poor obstetric outcomes;
  • reproductive outcomes in women - with congenital uterine anomalies;
  • septate uterus - the most common uterine anomaly;
  • unicornuate uterus - unable to be repaired or augmented;
  • gonadotropin-releasing hormone (GnRH) analogues - effective medical treatment for uterine myomas;
  • adenomyosis, endometrial glands and stroma - invading uterine myometrium

Summary

Congenital uterine anomalies and acquired lesions of the uterus may be identified during an infertility evaluation. Uterine abnormalities have been associated with infertility, recurrent pregnancy loss, or poor reproductive outcomes. Congenital anomalies are more commonly associated with adverse reproductive outcomes, although the septate uterus may also be associated with infertility. Acquired uterine abnormalities that may affect fertility include leiomyomas, endometrial polyps, intrauterine adhesions, and adenomyosis. Evaluation and management strategies for uterine infertility are discussed in this chapter.