Patient's question:
Detailed medical history and consultation purpose: There was a suspicion of bicornuate uterus or saddle uterus in the past. There have been 4 miscarriages: in 2000, 2001, 2003, and 2004. The first three were stillbirths at one or two months, and the 2004 one was a stillbirth at 23 and a half weeks (this time after active immunotherapy). Now, she is preparing to get pregnant and wants to ask the experts whether, in her case, she can still get pregnant normally, what precautions she should take during pregnancy, and looks forward to a reply!!!!!!Current general condition: Currently undergoing active immunotherapy, with everything else normal.
Doctor's answer:
Uterine malformation refers to abnormal development of the uterus, which has a significant impact on pregnancy. However, surgical correction can be performed based on the specific condition of the uterine malformation. Hysteroscopic anterior metroplasty has recently become popular in China. Its advantages include no need for laparotomy, no incisions on the uterine surface or deep muscle layer, and no need to worry about complications such as uterine rupture during postoperative pregnancy. However, it is essential to master the indications for surgery, and it is best performed under laparoscopic or ultrasound guidance. A intrauterine device (IUD) should be placed postoperatively to prevent intrauterine adhesion, and it should be removed three months later. Postoperative artificial estrogen and progesterone cycle therapy for three months is recommended to promote endometrial hyperplasia and repair.