Is it possible to recommend an 'optimal' postoperative management after hysteroscopic metroplasty?: A retrospective study with 52 infertile patients showing a septate uterus

Background. The aim of the retrospective study was to evaluate the 'optimal' postoperative management after hysteroscopic metroplasty. Methods. Fifty-two infertile patients with a septate uterus were included. Hysteroscopic metroplasty was performed using electrocautery (dissection needle) with postoperative cyclical hormone replacement therapy (HRT) + intrauterine device (IUD) insertion for 3 months (Group 1, n = 22), or HRT alone for 3 months (Group 2, n = 13), or without postoperative therapy (Group 3, n = 17). Results. During a median follow-up of 21 +/- 16.9 months 40.9% in Group 1, 53.8% in Group 2 and 41.2% in Group 3 (p > 0.05) resulted in ongoing pregnancies. The rates of delivery at term were 53.3%, 64.4% and 88.9%, respectively. Conclusions. A postoperative 3-months HRT + IUD insertion or a HRT alone after hysteroscopic metroplasty are not necessary.