Successful management of septate uterus in patients with recurrent pregnency loss: A report of two cases

Two women presenting with recurrent pregnancy loss were both diagnosed to have septate uterus. After hysteroscopic resection of the septum under laparoscopic guidance, successful term pregnancy was achieved in one patient, while second patient is currently on her 24th week of gestation. Septate uterus is the most common type of congenital uterine anomaly and has long been known to be associated with recurrent miscarriages, late-term abortion, and preterm labor. The pre-treatment abortion rate is 90%, which is both distressing for the patient and frustrating for the physician. Hysteroscopic septal resection under laparoscopic guidance is considered the standard for treatment, and is shown to improve reproductive outcome.

Filipino male partners in couples with infertility: semen quality profile and effects of age

Objective: To characterize the semen quality of Filipino male partners of couples with infertility and determine the effects of age. Design: Retrospective study. Setting: Andrology laboratory at a tertiary care hospital. Patients: 2,701 males. Main Outcome Measures: Routine semen analysis. Results: Average age of the study population was older and azoospermia occurence was lower than in previous studies. A large proportion had parameters below the WHO reference values. A decreasing trend for all semen parameters across increasing age was observed. For males -51 years old almost all parameters were below WHO values. Subject with abnormal parameters were significantly increasing across age. Occurence of severe oligozoospermia in older males was significantly increased compared to younger males. Conclusion: The study characterized the current status of semen quality in this subpopulation, a very large proportion of which had values below WHO reference. The data illutrate that as men age, semen quality declines.