Résumé
La mise en évidence d’une malformation utérine, voire utéro-annexielles, de découverte fortuite lors d’un bilan d’infertilité du couple, demande une expertise spécifique (1). La fréquence des malformations utérines varie en fonction des populations étudiées, qu’elles soient fertiles ou infertiles. En effet, la fréquence des malformations utérines ayant un impact sur la reproduction reste difficile à apprécier. Elle varie en fonction des séries de 0,5 à 47% (2–7). D’ailleurs, plusieurs classifications sont à notre disposition comme références, ceci rendant parfois malaisées les comparaisons entre les séries. Les Anglo-Saxonnes faisant plutôt référence à la classification de l’American Fertility Society (AFS) (8, 9) et les Francophones se référant à la classification de Musset et Belaich (10) ne permettent pas systématiquement de validation ubiquitaire, de critères pronostiques ni de gestes codifiés. De plus, les critères diagnostiques des malformations utérines ont été dépendants des méthodes diagnostiques utilisées.
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Références
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Chanelles, O., Poncelet, C. (2011). Malformations utérines et reproduction. In: Physiologie, pathologie et thérapie de la reproduction chez l’humain. Springer, Paris. https://doi.org/10.1007/978-2-8178-0061-5_22
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DOI: https://doi.org/10.1007/978-2-8178-0061-5_22
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