What is it about?
We have found a serious shortcoming in design of new 'European' classification system. The ESHRE/ESGE classification is the result of a consensus of experts and provides arbitrary criteria for recognition of uterine malformations. The most important clinical implication of the present study is to draw the attention of the medical community towards the risks of overdiagnosis and overtreatment of septate uterus, which occur by applying the ESHRE-ESGE criteria.
Featured Image
Why is it important?
Relative overdiagnosis of 'European' septate uterus in cases of 'American' normal and arcuate uterus may lead to unnecessary overtreatment without the expected benefits. The ESHRE-ESGE classification criteria should be redefined due to confusions in the methodology. Until the criteria are revised, septate uterus should not be diagnosed should not be diagnosed using this classification system and it should not be used as an eligibility criterion for surgical treatment (hysteroscopic metroplasty).
Read the Original
This page is a summary of: Comparison of the ESHRE-ESGE and ASRM classifications of Mullerian duct anomalies in everyday practice, Human Reproduction, December 2014, Oxford University Press (OUP),
DOI: 10.1093/humrep/deu344.
You can read the full text:
Resources
Differentiation between normal, septate and bicorporeal uterus by ESHRE-ESGE
Differentiation of normal, septate and bicorporeal uterus by the ESHRE–ESGE classification system. (A–C) The use of uterine wall thickness to define uterine deformity is a serious shortcoming in the ESHRE–ESGE classification because, as an independent and variable parameter (B), it does not reflect the degree of deformation of the uterine cavity (A) and the degree of deformation of the outer structure (C).
Paradox of ESHRE/ESGE classification of congenital uterine anomalies
Normal uterus by ASRM with the same length of internal fundal indentation in coronal view (top row); may be recognized paradoxically by ESHRE-ESGE as a septate (case on left) or normal uterus (case on right) depending on the thickness of the uterine wall in the sagittal view (bottom row).
Contributors
The following have contributed to this page
