Uterine anomalies and infertility.

The uterus malformation, stunting, endometritis, uterine fibroids, uterine cavity adhesion, location and abnormal uterine endometrium dysfunction can affect the operation of sperm, eggs and implantation of fetal development, growth, causing infertility or miscarriage. Uterine malformations a cause. Vice renal hypoplasia of derivatives. 2. Vice renal derived from the integration of obstacles. A classification. Atresia (1) to : residual uterine horn and intrauterine sense, sexual maturity cyclical pain, which is often found before marriage, and has been properly handled. (2) incomplete : residual uterine horn and intrauterine environment, and no significant dysmenorrhea, but have more residual uterine horn pregnancy. 2. Nonlocking (1) double uterus (double uterus, cervix double, double vagina). (2) twodouble uterine cervical (Bicornuate, double cervical, vaginal alone). (3) twouterine cervical single (single Bicornuate cervix). (4) Single Point of uterine cervical alone. (5) Incomplete septate uterus. (6) fully septate uterus. Clinical manifestations uterine malformations affect fertility, depending on the type of malformation and the extent to which. Most such patients without obvious symptoms, but affect the process of implantation often cause infertility. Even if the pregnancy, intrauterine not is expanding, and prone to miscarriage, premature delivery. Diagnosis of infertility patients, according to several abortion or the lords of the lawsuit, combined with adjuvant checks, more diagnosed. Traditional diagnostic methods rely solely on the uterus, fallopian tube Iodolography, contrast that to mainly through the abdominal cavity Hysteroscopy and Bhand understanding of the types of intrauterine deformity, but also intuitive uterine contour shape, to improve diagnostic accuracy. Treatment of uterine malformations after diagnosis, therapy according malformation type, given different treatment. Where cents or double uterus malformation, although prone to late abortion or premature birth, but pregnancy itself can promote uterine development, 50% of the rate of live births. If the mediastinum or twouterine malformations, intrauterine deformation, difficult pregnancy, pregnancy, abortionprone, should consider orthopedic surgery. 1. Caesarean section (1) Tompkin law : that is to remove the uterus center, pruning mediastinum, Intrauterine layers of closure. In septate uterus mediastinal were small. The advantages of the Act is to preserve all the uterus. (2) Jones Act : that is, wedge resection mediastinal law applicable to a wide mediastinum were. (3) Strasman law : that is the bottom of uterine incision and then suture around, applicable to twouterine malformations. After Note : (a) After the operation Add metal IUD 912 months, an intrauterine prevent postoperative adhesions, two contraceptive purposes to ensure that the healing time of uterine incision. (2) must contraception after 12 months. (3) after using estrogen and progestin therapy artificial cycle of three months to facilitate the repair of endometrial hyperplasia. to prevent irregular vaginal bleeding. (4) It was reported above three methods, after pregnancy rate as high as 90%, and the rate of live births of up to 80%. Delivery of pregnancy to 36 weeks after elective Cesarean section thirds. 2. Hysteroscopy hysteroscopy face downward correction of mediastinal in recent years has been popular in China. its advantage is not coming in, uterine surface and deep myometrial incision without having to worry about after pregnancy complications such as uterine rupture. but to have surgery indication, the best in laparoscopic ultrasound or under guardianship. After placing IUD to prevent intrauterine adhesions.