ESHRE-ESGE versus ASRM classification in the diagnosis of septate uterus: a retrospective study

Archives of Gynecology and Obstetrics
Yan OuyangXihong Li

Abstract

The European Society of Human Reproduction and Embryology-European Society for Gynaecological Endoscopy (ESHRE-ESGE) system is designed mainly for clinical orientation; its overdiagnosis of septate uteri was confirmed in a general population in comparison to the American Society of Reproductive Medicine (ASRM) supplemental classification proposed by Ludwin. However, the agreement among septate uterus recognition using the ESHRE-ESGE and the supplemental ASRM classifications and the rate of overdiagnosis of septate uterus by ESHRE-ESGE in infertile women remain unclear. We conducted a retrospective study of 53,540 infertile patients in our reproductive centre from June 2013 to December 2016, to compare septate uterus recognition using three systems. The data were analysed by the ESHRE-ESGE system, the ASRM by Salim and the ASRM by Ludwin separately. The concordance of diagnoses of septate uteri using these three systems was compared. ESHRE-ESGE classification significantly increased the frequency of septate uteri (11.31%, 6056 vs. 7.20%, 3854 vs. 3.80%, 2034). Good agreement was observed between the ESHRE-ESGE and the ASRM by Salim (k = 0.686, p < 0.001) and between the ASRM by Salim and that by Ludwin (k = 0.671, p < 0.001), wh...Continue Reading

References

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Citations

Mar 18, 2020·Abdominal Radiology·Marika A PitotKika M Dudiak
May 20, 2021·Minerva Obstetrics and Gynecology·Laura DettiMary E Christiansen
Jun 22, 2021·Pediatric Radiology·Amanda G RivasSharon W Gould
Dec 21, 2021·Journal of Gynecology Obstetrics and Human Reproduction·Adamyan MariannaGrigoryan Hripsime

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