Prevalence of Septate Uterus in a Large Population of Women of Reproductive Age: Comparison of ASRM 2016 and 2021, ESHRE/ESGE, and CUME Diagnostic Criteria: A Prospective Study.
| Title: | Prevalence of Septate Uterus in a Large Population of Women of Reproductive Age: Comparison of ASRM 2016 and 2021, ESHRE/ESGE, and CUME Diagnostic Criteria: A Prospective Study. |
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| Authors: | Carriles, Isabel1 (AUTHOR) icarriles@unav.es, Brotons, Isabel1 (AUTHOR) ibrotons@unav.es, Errasti, Tania1 (AUTHOR), Ruiz-Zambrana, Alvaro1 (AUTHOR), Ludwin, Artur2 (AUTHOR) ludwin@cm-uj.krakow.pl, Alcazar, Juan Luis1 (AUTHOR) jlalcazar@unav.es |
| Source: | Diagnostics (2075-4418). Sep2024, Vol. 14 Issue 18, p2019. 13p. |
| Subject Terms: | *SEPTATE uterus, *CHILDBEARING age, *TRANSVAGINAL ultrasonography, *ANATOMICAL planes, *LONGITUDINAL method |
| Abstract: | In this study, we aimed to assess and compare the prevalence of septate uterus using the diagnostic criteria of the ESHRE-ESGE, ASRM 2016, ASRM 2021, and CUME classifications. This prospective observational study included 977 women of reproductive age. Each participant underwent a transvaginal ultrasound, and a 3D volume of the uterus was obtained for further analysis. Offline assessment of the uterine coronal plane was conducted to measure uterine wall thickness, fundal indentation length, and indentation angle. The diagnosis of a septate uterus was determined according to the criteria of the ESHRE-ESGE, ASRM, and CUME classifications. The prevalence of septate uterus was then calculated and compared across these classifications. The ESHRE-ESGE classification identified 132 women (13.5%) with a septate uterus. The 2016 ASRM classification identified nine women (0.9%), with an additional nine women falling into a grey zone. The 2021 ASRM classification identified fourteen women (1.4%), with eleven women in the grey zone. The CUME classification identified 23 women (2.4%). The prevalence of septate uterus was significantly higher when using the ESHRE-ESGE criteria compared to the 2016 ASRM [relative risk (RR): 7.33 (95% CI: 4.52–11.90)], the 2021 ASRM [RR: 5.28 (95% CI: 3.47–8.02)], and the CUME [RR: 5.94 (95% CI: 3.72–8.86)] (p < 0.001). Our findings indicate that the ESHRE-ESGE criteria result in a significantly higher prevalence of septate uterus compared to the ASRM and CUME criteria. The ASRM 2016 criteria may underdiagnose more than half of the cases. [ABSTRACT FROM AUTHOR] |
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| Items | – Name: Title Label: Title Group: Ti Data: Prevalence of Septate Uterus in a Large Population of Women of Reproductive Age: Comparison of ASRM 2016 and 2021, ESHRE/ESGE, and CUME Diagnostic Criteria: A Prospective Study. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Carriles%2C+Isabel%22">Carriles, Isabel</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> icarriles@unav.es</i><br /><searchLink fieldCode="AR" term="%22Brotons%2C+Isabel%22">Brotons, Isabel</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> ibrotons@unav.es</i><br /><searchLink fieldCode="AR" term="%22Errasti%2C+Tania%22">Errasti, Tania</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ruiz-Zambrana%2C+Alvaro%22">Ruiz-Zambrana, Alvaro</searchLink><relatesTo>1</relatesTo> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ludwin%2C+Artur%22">Ludwin, Artur</searchLink><relatesTo>2</relatesTo> (AUTHOR)<i> ludwin@cm-uj.krakow.pl</i><br /><searchLink fieldCode="AR" term="%22Alcazar%2C+Juan+Luis%22">Alcazar, Juan Luis</searchLink><relatesTo>1</relatesTo> (AUTHOR)<i> jlalcazar@unav.es</i> – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Diagnostics+%282075-4418%29%22">Diagnostics (2075-4418)</searchLink>. Sep2024, Vol. 14 Issue 18, p2019. 13p. – Name: Subject Label: Subject Terms Group: Su Data: *<searchLink fieldCode="DE" term="%22SEPTATE+uterus%22">SEPTATE uterus</searchLink><br />*<searchLink fieldCode="DE" term="%22CHILDBEARING+age%22">CHILDBEARING age</searchLink><br />*<searchLink fieldCode="DE" term="%22TRANSVAGINAL+ultrasonography%22">TRANSVAGINAL ultrasonography</searchLink><br />*<searchLink fieldCode="DE" term="%22ANATOMICAL+planes%22">ANATOMICAL planes</searchLink><br />*<searchLink fieldCode="DE" term="%22LONGITUDINAL+method%22">LONGITUDINAL method</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: In this study, we aimed to assess and compare the prevalence of septate uterus using the diagnostic criteria of the ESHRE-ESGE, ASRM 2016, ASRM 2021, and CUME classifications. This prospective observational study included 977 women of reproductive age. Each participant underwent a transvaginal ultrasound, and a 3D volume of the uterus was obtained for further analysis. Offline assessment of the uterine coronal plane was conducted to measure uterine wall thickness, fundal indentation length, and indentation angle. The diagnosis of a septate uterus was determined according to the criteria of the ESHRE-ESGE, ASRM, and CUME classifications. The prevalence of septate uterus was then calculated and compared across these classifications. The ESHRE-ESGE classification identified 132 women (13.5%) with a septate uterus. The 2016 ASRM classification identified nine women (0.9%), with an additional nine women falling into a grey zone. The 2021 ASRM classification identified fourteen women (1.4%), with eleven women in the grey zone. The CUME classification identified 23 women (2.4%). The prevalence of septate uterus was significantly higher when using the ESHRE-ESGE criteria compared to the 2016 ASRM [relative risk (RR): 7.33 (95% CI: 4.52–11.90)], the 2021 ASRM [RR: 5.28 (95% CI: 3.47–8.02)], and the CUME [RR: 5.94 (95% CI: 3.72–8.86)] (p < 0.001). Our findings indicate that the ESHRE-ESGE criteria result in a significantly higher prevalence of septate uterus compared to the ASRM and CUME criteria. The ASRM 2016 criteria may underdiagnose more than half of the cases. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Diagnostics (2075-4418) is the property of MDPI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.3390/diagnostics14182019 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 13 StartPage: 2019 Subjects: – SubjectFull: SEPTATE uterus Type: general – SubjectFull: CHILDBEARING age Type: general – SubjectFull: TRANSVAGINAL ultrasonography Type: general – SubjectFull: ANATOMICAL planes Type: general – SubjectFull: LONGITUDINAL method Type: general Titles: – TitleFull: Prevalence of Septate Uterus in a Large Population of Women of Reproductive Age: Comparison of ASRM 2016 and 2021, ESHRE/ESGE, and CUME Diagnostic Criteria: A Prospective Study. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Carriles, Isabel – PersonEntity: Name: NameFull: Brotons, Isabel – PersonEntity: Name: NameFull: Errasti, Tania – PersonEntity: Name: NameFull: Ruiz-Zambrana, Alvaro – PersonEntity: Name: NameFull: Ludwin, Artur – PersonEntity: Name: NameFull: Alcazar, Juan Luis IsPartOfRelationships: – BibEntity: Dates: – D: 15 M: 09 Text: Sep2024 Type: published Y: 2024 Identifiers: – Type: issn-print Value: 20754418 Numbering: – Type: volume Value: 14 – Type: issue Value: 18 Titles: – TitleFull: Diagnostics (2075-4418) Type: main |
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