The Thessaloniki ESHRE/ESGE consensus on diagnosis of female genital anomalies

Abstract

None.

The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum/significant arcuate uterine anomaly in infertile patients in the era of transvaginal 3D ultrasound scan

“…The main criticism is over diagnosis that may lead to over treatment. The ESHRE-ESGE was subsequently modified by the Thessaloniki ESHRE/ESGE, which addressed some of the concerns raised by some investigators [11]. A recent publication suggested ESHRE-ESGE cut-off value overestimates the prevalence of septate uterus while that of ASRM underestimates this prevalence, leaving in the gray-zone most of the uteri that experts considered as septate [22].…”

Distribution of female genital tract anomalies in two classifications

“…Hysterosalpingography, 2D ultrasound and endoscopies were formerly mostly used for the diagnosis of female genital tract anomalies. Nowadays noninvasive imaging techniques such as 3D ultrasound and MRI are the recommended procedures for the diagnosis of Müllerian duct anomalies [15]. The European classification uses morphometric criteria to grade uterine anomalies in order to eliminate subjective assessments [8].…”

“…The European classification uses morphometric criteria to grade uterine anomalies in order to eliminate subjective assessments [8]. Uterine wall thickness and internal indentation at the midfundal level measured by ultrasound or MRI are bases for the definitions of septate, bicorporeal and T-shaped uterus [15]. Vaginal anomalies are diagnosed mostly during conventional gynecological examination and MRI is used in cases with an obstructive anomaly.…”

Prospective Study of Concordance Between Hysterosalpingo‐Contrast Sonography and Hysteroscopy for Evaluation of the Uterine Cavity in Patients Undergoing Infertility Studies

“…In terms of endocavitary anomalies, 15 of 90 (16.6%) had suspected endocavitary anomalies on HyCoSy, whereas in 75 of 90 (83.3%), HyCoSy revealed a normal uterine cavity. In the group with endocavitary pathologic findings, 8 patients showed uterine malformations: 5 patients had a suspected septate or subseptate uterus (Figure ); 3 patients had a suspected T‐shaped uterus (Figure ); uterine malformations were classified according to the European Society of Human Reproduction and Embryology 2015 classification; 3 patients had a suspected endometrial polyp (Figure ); 2 patients had suspected submucous leiomyoma (Figure ); 1 patient had suspected persistent abortive remnants (Figure ); and 1 patient had suspected focal adenomyosis.…”