Does the time interval between the diagnosis to hysteroscopic evacuation of retained products of conception affect repro

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GYNECOLOGIC ENDOCRINOLOGY AND REPRODUCTIVE MEDICINE

Does the time interval between the diagnosis to hysteroscopic evacuation of retained products of conception affect reproductive outcome? Michal Tarasov2 · Yechiel Z. Burke1   · David Stockheim1 · Raoul Orvieto1,2 · Shlomo B. Cohen1,2 Received: 26 April 2020 / Accepted: 25 July 2020 © Springer-Verlag GmbH Germany, part of Springer Nature 2020

Abstract Background  Retained products of conception (RPOC) refer to the presence of placental and/or fetal tissue in the uterus following delivery, miscarriage, or termination of pregnancy. The presence of such tissue might lead to complications, which might be the culprit of secondary infertility. Although some studies have considered the management of symptomatic RPOC, there are no data regarding the management of asymptomatic, incidentally diagnosed RPOC, nor the optimal time for surgical intervention required to prevent adverse reproductive outcomes. Objective  This study aimed to examine whether the time interval between the pregnancy termination to surgical evacuation of RPOC influences the reproductive outcome in asymptomatic women. Design  This is a retrospective cohort study, which includes women who were admitted for an elective procedure in the gynecology day-care clinic due to suspected RPOC. The diagnosis was made during patients’ routine examination following either delivery or miscarriage between the years 2010 and 2018. Setting  Records of women who were admitted to the day-care gynecology department during the years 2010–2018 for hysteroscopic removal of RPOC. Patients  The patients were divided into three groups, according to the time from desired pregnancy to conception following the procedure (> 6; 3–6 and