Patient's question:
Can you normally get pregnant after a transverse uterine surgery? What is the recovery rate of the surgery?Doctor's answer:
Even if a woman with a septate uterus becomes pregnant, the incidence of intrauterine growth restriction and fetal intrauterine death is higher compared to normal pregnancies. This is because the septum has fewer blood vessels and more fibrous tissue than the normal uterine muscle layer, which hinders normal implantation. Additionally, the endometrium covering the septum responds poorly to hormonal stimulation, and the septum can also obstruct normal placental growth, leading to early fetal death. If the pregnancy continues, it may also result in intrauterine growth restriction. Experts recommend that patients with a septate uterus consider pregnancy after treatment. It is best to undergo surgery before pregnancy, as the hospital stay is typically about 5 days. Depending on the specific condition of the septum, either hysteroscopy or laparoscopic surgery may be used for treatment. The surgery is performed under anesthesia and is painless. Cold knife separation under hysteroscopy is used, and a biological stent is placed postoperatively to prevent adhesion recurrence. The results are excellent.