Two cases of secondary infertility due to caesarean scar defect
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Keywords
Caesarean scar defect, secondary infertility
Abstract
Previous lower uterine segment caesarean scar defect is an uncommon complication after cesarean section. This pathology often causes dysfunctional uterine bleeding, persistence of fluid over cesarean scar defect, dysmenorrhea, and less commonly, secondary infertility. In our practice, we encountered out two cases of secondary infertility following cesarean section were treated, but there are still many unclear issues about the aetiology of previous caesarean scar defects and secondary infertility following cesarean section, as well as the management of this group of patients. We rediscovered the literature review to improve our understanding of this issue.
Article Details
References
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2. Bij de Vaate AJM, Brolmann HAM, Van Der Voet LF, Van Der Slikke JW, Veersema S and Huirne JAF (2011) Ultrasound evaluation of the cesarean scar: relation between a niche and postmenstrual spotting. Ultrasound Obstet Gynecol 37: 93-99.
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4. Florio P, Filippeschi M, Moncini I, Marra E, Franchini M, Gubbini G (2012) Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. Curr Opin Obstet Gynecol 24(3): 180-186.
5. Gubbini G, Centini G, Nascetti D, Marra E, Moncini I, Bruni L, Petraglia F, Florio P (2011) Surgical hysteroscopic treatment of cesarean-induced isthmocele in restoring fertility: Prospective study. J Minim Invasive Gynecol 18(2): 234-237.
6. Gurol-Urganci I, Bou-Antoun S, Lim CP, Cromwell DA, Mahmood TA, Templeton A, Van Der Meulen JH (2013) Impact of caesarean section on subsequent fertility: a systematic review and meta-analysis. Hum Reprod 28: 1943-1952.
7. Hayakawa H, Itakura A, Mitsui T, Okada M, Suzuki M, Tamakoshi K, Kikkawa F (2006) Methods for myometrium closure and other factors impacting effects on cesarean section scars of the uterine segment detected by the ultrasonography. Acta Obstet Gynecol Scand 85(4): 429-434.
8. Osser OV, Jokubkiene L, Valentin L (2010) Cesarean section scar defects: Agreement berween transvaginal sonographic findings with and without saline contrast enhancement. Ultrasound Obster Gynecol 35: 75-83.
9. Tsuji S, Murakami T, Kimura F, Tanimura S, Kudo M, Shozu M, Narahara H, Sugino N (2015) Management of secondary infertility following cesarean section: Report from the subcommittee of the reproductive endocrinology committee of the Japan Society of Obstetrics and Gynecology. J Obstet Gynaecol Res 41(9): 1305-1312.
10. Yazicioglu Fehmi, Gokdogan Arif, Kelekci Sefa, Savan Kadir (2006) Incomplete healing of the uterine incision after caesarean section: Is its preventable?. European Journal of Obstetrics & Gynecology and Reproductive Biology 124(1): 32-36.
2. Bij de Vaate AJM, Brolmann HAM, Van Der Voet LF, Van Der Slikke JW, Veersema S and Huirne JAF (2011) Ultrasound evaluation of the cesarean scar: relation between a niche and postmenstrual spotting. Ultrasound Obstet Gynecol 37: 93-99.
3. Dicle O1, Küçükler C, Pirnar T, Erata Y, Posaci C (1997) Magnetic resonance imaging evaluation of incision healing after cesarean sections. Eur Radiol 7(1): 31-34.
4. Florio P, Filippeschi M, Moncini I, Marra E, Franchini M, Gubbini G (2012) Hysteroscopic treatment of the cesarean-induced isthmocele in restoring infertility. Curr Opin Obstet Gynecol 24(3): 180-186.
5. Gubbini G, Centini G, Nascetti D, Marra E, Moncini I, Bruni L, Petraglia F, Florio P (2011) Surgical hysteroscopic treatment of cesarean-induced isthmocele in restoring fertility: Prospective study. J Minim Invasive Gynecol 18(2): 234-237.
6. Gurol-Urganci I, Bou-Antoun S, Lim CP, Cromwell DA, Mahmood TA, Templeton A, Van Der Meulen JH (2013) Impact of caesarean section on subsequent fertility: a systematic review and meta-analysis. Hum Reprod 28: 1943-1952.
7. Hayakawa H, Itakura A, Mitsui T, Okada M, Suzuki M, Tamakoshi K, Kikkawa F (2006) Methods for myometrium closure and other factors impacting effects on cesarean section scars of the uterine segment detected by the ultrasonography. Acta Obstet Gynecol Scand 85(4): 429-434.
8. Osser OV, Jokubkiene L, Valentin L (2010) Cesarean section scar defects: Agreement berween transvaginal sonographic findings with and without saline contrast enhancement. Ultrasound Obster Gynecol 35: 75-83.
9. Tsuji S, Murakami T, Kimura F, Tanimura S, Kudo M, Shozu M, Narahara H, Sugino N (2015) Management of secondary infertility following cesarean section: Report from the subcommittee of the reproductive endocrinology committee of the Japan Society of Obstetrics and Gynecology. J Obstet Gynaecol Res 41(9): 1305-1312.
10. Yazicioglu Fehmi, Gokdogan Arif, Kelekci Sefa, Savan Kadir (2006) Incomplete healing of the uterine incision after caesarean section: Is its preventable?. European Journal of Obstetrics & Gynecology and Reproductive Biology 124(1): 32-36.