Can you get pregnant with a septate uterus if you have menstrual irregularities?

Patient's question:

Irregular menstruation, considering a transverse uterus, is it necessary to have surgery? Can I get pregnant without surgery? Thank you!

Doctor's answer:

Based on your purchase situation, it is considered an uterine malformation, such as a septate uterus. This condition, if pregnancy occurs, generally leads to repeated occurrences of miscarriage, premature rupture of membranes, preterm birth, and interference with conception. It is necessary to undergo surgical treatment.
It is recommended to undergo a hysterosalpingography (HSG) using iodized oil, or a combined examination using hysteroscopy and laparoscopy to confirm the nature of the uterine malformation. If it is a septate uterus, it is important to determine whether it is a complete or incomplete septum. Based on the specific situation, surgical treatment can be implemented to facilitate early recovery. The surgery is simple, safe, and reliable, and normal conception can typically occur three months after the procedure.

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