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Over the course of 18 years, 182 women with uterine abnormalities in total were observed. Overall, 126 women had 265 pregnancies, with a foetal survival rate of 66%, perinatal death of 8%, and 23% of preterm births. Complete estate uteri had the highest foetal survival rate (86%) compared to complete bicornuate uteri (50%) and unicornuate uteri (40%) when the uterine anomalies were categorised according to the degree of failure of normal uterine development. The partial bicornuate uteri (17%), whose foetal survival in operated cases was 53% before operation and 100% after, saw the largest use of cervical circulate. With the exception of complete estate uteri (25%) and complete bicornuate (0%), all groups had a 40%– 50% breech presentation frequency. Patient deliveries had the highest rate of caesarean sections (82%). All 3850 infertile patients had high-quality 3D photos taken of them, and in 23.2% of them, 3D US indicated uterine anomalies that could be surgically corrected. 17.9% of the population who were infertile as a whole had uterine septa. The most frequent uterine anomaly, accounting for 77.1% of the intracavitary lesions, was uterine septum. 225 (72.6%) of the 310 patients that were followed up on became pregnant. After septal incision, 57.7% of patients experienced term deliveries, whereas 15.4% experienced preterm births. After the septum was removed hysteroscopically, the percentage of spontaneous abortions fell from 41.7% to 11.9%. In patients with infertility, three dimensional ultrasound can be used as a screening approach to find uterine anomalies. After surgical hysteroscopy, we discovered a considerable improvement in the reproductive outcome
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