Name
10264 - The Association between Uterine Septum and Undescended Ovaries
Presenting Author
Manuel Merida
Affiliation
Hurley medical center/ Michigan State University
Abstract
- Study Objective: To describe the pathology of undescended ovaries and its association with Mullerian abnormalities such as uterine septum, and the importance of acknowledging this correlation in women with recurrent pregnancy loss, infertility, and pelvic pain.
- Design: This is a case series and review of the literature on undescended ovaries.
- Setting: University-associated community hospital, infertility clinic.
- Patients or Participants: Three patients with history of uterine septum
- Interventions: Transvaginal ultrasound, hysterosalpingography, saline infusion hysterosonogram, computerized tomography scan, laparoscopy, hysteroscopy, hysteroscopic metroplasty, hysteroscopic myomectomy.
- Measurements and Main Results: Patients with an unexpected diagnosis of undescended ovaries were studied for the presence of uterine septum in the setting of recurrent early pregnancy loss, infertility, and pelvic pain. Infertility workup was positive for two patients with left undescended ovary associated with incomplete and complete uterine septum respectively, and one patient with bilateral undescended ovaries associated with an incomplete uterine septum.
- Conclusion: An incidental and isolated finding of abnormally located ovaries at the pelvic brim should prompt the healthcare provider to evaluate for possible undescended ovaries, especially in the presence of Müllerian anomalies such as the uterine septum. Awareness of this pathology among practitioners is important as it affects various phases of evaluation and treatment of the infertile and gynecologic patient such as sonographic evaluation, follicular growth monitoring, or oocyte retrieval, thus appropriate medical and surgical planning should be performed to avoid complications related to infertility treatment.
Authors
Merida, MA*1, Hudson, M1, Brown, J1, Youssef, Y1, Young, OJ2, Akinpeloye, A3, Abuzeid, MI1. 1Obstetrics and Gynecology, Hurley medical center/ Michigan State University, Flint, MI; 2Obstetrics and Gynecology, Hurley medical center/ Michigan State University, flint, MI; 3Obstetrics and gynecology, Hurley medical center/ Michigan State University, Flint, MI
Primary Category
Reproductive Medicine
Secondary Category
Other