Uterine Factors

被引:39
作者
Jaslow, Carolyn R. [1 ]
机构
[1] Rhodes Coll, Dept Biol, Memphis, TN 38112 USA
关键词
Recurrent miscarriage; Uterus; Septum; Fibroids; Uterine anomalies; Pregnancy loss; Congenital; Acquired; RECURRENT SPONTANEOUS-ABORTION; FEMALE GENITAL-TRACT; VELOCITY WAVE-FORMS; ENDOMETRIAL POLYPS; MULLERIAN DUCT; INTRAUTERINE ADHESIONS; REPRODUCTIVE OUTCOMES; HYSTEROSCOPIC METROPLASTY; SEPTATE UTERUS; CYTOGENETIC ABNORMALITIES;
D O I
10.1016/j.ogc.2013.10.002
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Uterine anomalies are one of the most common parental causes of recurrent pregnancy loss, occurring in about 19% of patients. Congenital uterine anomalies are most likely caused by HOX gene mutations, although the mechanism is probably polygenic. There are no known environmental causes other than estrogenic endocrine disruptors such as diethylstilbestrol. Acquired uterine anomalies may result from uterine trauma (adhesions) or benign growths of the myometrium (fibroids) or endometrium (polyps). Although randomized controlled trials are lacking, surgical treatment is recommended for repair of uterine septa, and for removal of severe adhesions and submucosal fibroids, especially if no other causes are identified.
引用
收藏
页码:57 / +
页数:32
相关论文
共 167 条
[3]   The history of female genital tract malformation classifications and proposal of an updated system [J].
Acien, Pedro ;
Acien, Maribel I. .
HUMAN REPRODUCTION UPDATE, 2011, 17 (05) :693-705
[4]   Intrauterine adhesions - An update [J].
Al-Inany, H .
ACTA OBSTETRICIA ET GYNECOLOGICA SCANDINAVICA, 2001, 80 (11) :986-993
[5]   Laparoscopic metroplasty in bicornuate and didelphic uteri [J].
Alborzi, Saeed ;
Asadi, Nasrin ;
Zolghadri, Jaleh ;
Alborzi, Soroosh ;
Alborzi, Mehrnoosh .
FERTILITY AND STERILITY, 2009, 92 (01) :352-355
[6]   Maternal age and fetal loss: population based register Linkage study [J].
Andersen, AMN ;
Wohlfahrt, J ;
Christens, P ;
Olsen, J ;
Melbye, M .
BRITISH MEDICAL JOURNAL, 2000, 320 (7251) :1708-1712
[7]   IMPAIRED REPRODUCTIVE-PERFORMANCE OF THE UNICORNUATE UTERUS - INTRAUTERINE GROWTH-RETARDATION, INFERTILITY, AND RECURRENT ABORTION IN 5 CASES [J].
ANDREWS, MC ;
JONES, HW .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1982, 144 (02) :173-176
[9]  
[Anonymous], 2011, MIX 2.0. Professional software for meta-analysis in excel
[10]   Potential link between estrogen receptor-α gene hypomethylation and uterine fibroid formation [J].
Asada, Hiromi ;
Yamagata, Yoshiaki ;
Taketani, Toshiaki ;
Matsuoka, Aki ;
Tamura, Hiroshi ;
Hattori, Naoko ;
Ohgane, Jun ;
Hattori, Naka ;
Shiota, Kunio ;
Sugino, Norihiro .
MOLECULAR HUMAN REPRODUCTION, 2008, 14 (09) :539-545