ABSTRACT

Uterine septum is the most common congenital Müllerian anomaly accounting for more than 50% of cases. The issue of uterine septum and infertility remains controversial, with conflicting data in the literature. The prevalence of uterine anomalies in patients with recurrent pregnancy loss (RPL) when optimal tests, such as transvaginal three Dimensional (3D) ultrasound scan (TV 3D US), are used has been estimated to be 13.3%. Hysterosalpingography (HSG) has been used for the diagnosis of congenital uterine anomalies for many decades. HSG also provides valuable information about tubal patency in infertile patients. Transvaginal 2D ultrasound scan (TV 2D US) has been used to help in the diagnosis of congenital uterine anomalies for the last four decades. Diagnostic hysteroscopy allows both direct visualization of the uterine cavity and operative intervention when uterine septa are encountered.