Dear Colleagues,

Congenital and acquired uterine anomalies are common findings. Although they might be asymptomatic, some are associated with significant impacts on fertility and recurrent pregnancy loss. Diagnosis is usually confirmed with ultrasound and clinical examination, but in some rare cases additional imaging techniques are used. Treatment is not required for most cases, however surgical corrections are usually proposed if there is miscarriage, infertility impairment, heavy bleeding or pain.
The most common congenital uterine malformation, often diagnosed in women with recurrent spontaneous abortions and infertility, is septate uterus. This condition can be corrected with hysteroscopy. On the other hand, pregnancy in a unicornuate uterus with lower distension capacity often results in preterm delivery. Metroplasty is indicated for women with a bicornuate uterus and poor pregnancy outcomes.
Acquired uterine anomalies such as fibroids are very common and do not need treatment in the absence of symptoms. When treating infertility, most authors agree that submucosal fibroids should be removed.
The goal of this special issue is to share experiences and knowledge on the diagnosis, treatment and pregnancy impact of congenital and acquired uterine malformations. We welcome articles concerning the influence of uterine anomalies on female fertility and/or pregnancy outcome, as well as those covering treatment options or describing indications for treatment and operative techniques. The impact of uterine anomalies on fertility and pregnancy outcome is a long-standing debate and we welcome the opportunity to hear about your experiences.

Dr. Helena Ban Frangez and Dr.Antonio Simone Laganà

Guest Editors