In this online patient meeting, Dr Alejandra Aguilar Crespo, a Gynaecologist & Consultant Specialist at Equipo Juana Crespo, Valencia, Spain has been talking about uterine factors and their impact on IVF treatment. She has explained how to diagnose and treat them in order to have a successful IVF outcome.
A number of factors can affect the shape and functioning of the uterus, which can lead to infertility. Uterine factor infertility occurs in less than 5% of women. In general, uterine factor infertility can be divided into anatomic causes (fibroids, myomas, adenomyosis and polyps) and functional causes (chronic endometritis). At times, women are born with a bicornuate or unicornuate uterus, those can be surgically corrected. It’s important to remember that fibroid or polyps can interfere with fetal growth and depending on the size and location should be removed.
Diagnosing the cause of uterine factor infertility requires various tests including ultrasonography to evaluate the uterus for fibroid tumours, cysts and other abnormalities. Hysterosalpingogram(HSG), Magnetic resonance imaging (MRI), Sonohysterography, Hysteroscopy or Laparoscopy. Each patient needs to be evaluated individually as not all uterine malformations require to be removed, polyps or fibroids that do not interfere with fertility usually don’t require removal as well.- Questions and Answers