%0 Journal Article
%T Evidence-based diagnosis and treatment for uterine septum: a guideline.
%A  
%J Fertil Steril
%V 122
%N 2
%D 2024 Aug 1
%M 38556964
%F 7.49
%R 10.1016/j.fertnstert.2024.02.033
%X <B>OBJECTIVE: </B>To provide evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum.<BR><B>METHODS: </B>This guideline provides evidence-based recommendations regarding the diagnosis and effectiveness of surgical treatment of a uterine septum. This replaces the last version of the same name (Fertil Steril. 2016 Sep 1;106(3):530-40).<BR><B>METHODS: </B>Outcomes of interest included the impact of a septum on underlying fertility, live birth, clinical pregnancy, and obstetrical outcomes.<BR><B>RESULTS: </B>The literature search identified relevant studies to inform the evidence for this guideline.<BR><B>CONCLUSIONS: </B>The treatment of uterine septa and subsequent outcomes associated with infertility, recurrent pregnancy loss, and adverse obstetrical outcomes are summarized. Resection of a septum has been shown to improve outcomes in patients with recurrent pregnancy loss and to decrease the likelihood of malpresentation. In the setting of infertility, it is recommended to use a shared decision-making model after appropriate counseling to determine whether or not to proceed with septum resection.