Can Uterine Septum be an Etiological Factor for Dysmenorrhea in Primary Infertile Patients?

IF 3.5 4区 医学 Q2 SURGERY
Journal of Investigative Surgery Pub Date : 2025-12-01 Epub Date: 2025-08-06 DOI:10.1080/08941939.2025.2542846
Batuhan Turgay, Yavuz Emre Şükür, Batuhan Özmen, Murat Sönmezer, Bülent Berker, Ruşen Aytaç, Cem Somer Atabekoğlu
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引用次数: 0

Abstract

Background: The aim of this study is to investigate the association between uterine septum and dysmenorrhea and to assess the effect of hysteroscopic resection on the severity of dysmenorrhea.

Method: The study group (N:50) consisted of women who underwent hysteroscopic septum resection, and the control group (N:74) consisted of women who underwent diagnostic hysteroscopy and had no significant uterine pathologies. The presence and severity of dysmenorrhea were assessed by using a 10 cm visual analog scale (VAS). The main outcome measurement was the difference between preoperative and postoperative dysmenorrhea VAS scores.

Results: The mean preoperative VAS score was significantly higher in the study group than the control group (4.6 ± 2.6 cm vs. 3.2 ± 2.4 cm, respectively; p = 0.023). The rates of moderate to severe dysmenorrhea were 52% in the study group and 17.5% in the control group (p = 0.025). The mean dysmenorrhea VAS score of women with uterine septum was significantly improved in postoperative 3rd and 6th months when compared to the preoperative period (3.4 ± 2.4 cm and 3.1 ± 2.3 vs. 4.6 ± 2.6 cm, respectively; P1 = 0.025 and P2 = 0.003).

Conclusions: Uterine septum seems to be an etiological factor for dysmenorrhea. Although there is no significant relationship between septum depth and dysmenorrhea severity, hysteroscopic resection of the uterine septum improves dysmenorrhea in the infertile study group.

子宫间隔是原发性不孕症患者痛经的病因吗?
背景:本研究的目的是探讨子宫间隔与痛经的关系,并评估宫腔镜切除对痛经严重程度的影响。方法:研究组(N:50)为行宫腔镜下子宫隔切除术的女性,对照组(N:74)为行诊断性宫腔镜且无明显子宫病变的女性。采用10cm视觉模拟评分(VAS)评估痛经的存在和严重程度。主要结果测量是术前和术后痛经VAS评分的差异。结果:研究组术前VAS评分均值显著高于对照组(分别为4.6±2.6 cm和3.2±2.4 cm);p = 0.023)。研究组中重度痛经发生率为52%,对照组为17.5% (p = 0.025)。子宫间隔患者术后第3、6个月痛经VAS评分均值较术前显著提高(分别为3.4±2.4 cm和3.1±2.3 cm);P1 = 0.025, P2 = 0.003)。结论:子宫隔可能是痛经的病因之一。虽然室间隔深度与痛经严重程度之间没有明显的关系,但宫腔镜切除子宫间隔可以改善不孕症研究组的痛经。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
4.20
自引率
0.00%
发文量
114
审稿时长
6-12 weeks
期刊介绍: Journal of Investigative Surgery publishes peer-reviewed scientific articles for the advancement of surgery, to the ultimate benefit of patient care and rehabilitation. It is the only journal that encompasses the individual and collaborative efforts of scientists in human and veterinary medicine, dentistry, basic and applied sciences, engineering, and law and ethics. The journal is dedicated to the publication of outstanding articles of interest to the surgical research community.
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