Laparoscopic Strassman Metroplasty

Reconstructive surgery may be considered when imaging and endoscopy suggest bicornuate uterus or other non-septate malformations, and are associated with a history of recurrent miscarriage, premature birth, or significant menstrual flow/dysmenorrhea affecting fertility outcomes. The decision is influenced by the anatomical type of malformation, uterine myometrial thickness, overall health status, previous treatment response, and surgical feasibility, and requires comprehensive specialist evaluation.