Patient's question:
I have a completely septate uterus. Can I get pregnant normally? If not, can surgery be used to treat it? What is the chance of successfully getting pregnant after treatment? Thank you.I am 26 years old. The result of my ultrasound at the hospital was "complete septate uterus." The doctor told me it might lead to infertility,... I am very worried. I want to have a child.
First follow-up question: I would like to add some information about my condition: my test results also indicate double cervix and double vagina. Will surgery be difficult in this case? Will the vagina also need to be operated on?
Doctor's answer:
Hello: Uterine septum accounts for about 80% of uterine malformations and is the most common uterine malformation causing natural abortion and preterm birth. The septum causes abortion mainly due to ischemia in the septal area and poor endometrial development, leading to insufficient blood supply after implantation of the fertilized egg, which affects the normal development of the fetus. In recent years, hysteroscopy has played a special role in the diagnosis and treatment of uterine septum. It not only facilitates easy diagnosis but also allows for septal resection under the hysteroscope, significantly reducing the abortion rate. The uterine septum occurs due to a blockage in the absorption process of the septum during the embryonic development of the uterus, where the bilateral paramesonephric ducts fail to fully absorb the septum, dividing the uterine body into two halves while leaving the lower segment connected, with a completely normal uterine shape, normal cervix, and normal vagina. Sometimes, the septum extends into the vagina, forming a vaginal septum. Clinically, uterine septum often shows no symptoms and is difficult to diagnose, usually being discovered only after experiencing infertility or habitual abortion. Uterine septum is a type of uterine malformation, and there are many methods for diagnosing it, such as pelvic examination, hysterosalpingography, abdominal or vaginal ultrasound, magnetic resonance imaging (MRI), CT, etc. However, most of these methods rarely confirm the presence of a uterine septum. Hysteroscopy is a specific method for diagnosing uterine septum. Uterine septum is a common cause of infertility or habitual abortion. It has been reported that 40% of cases lead to infertility, and 35% have at least two or more previous miscarriages before diagnosis. The traditional surgical method for treating uterine septum involves laparotomy to open the uterine wall, removing the septum along with part of the uterine wall. This method causes significant trauma, a long recovery period, and requires contraception for 3-4 years before pregnancy. Delivery must be performed via cesarean section, and