Patient's question:
Medical History Description: Female. 32 years old. On August 9th, a hysterosalpingogram revealed a unicornuate uterus on the left side, with an irregular shape and rough edges. The right side appears normal.Treatment History and Effect: In 2004, treated for ectopic pregnancy conservatively. In March 2010, pregnant but experienced threatened miscarriage in May. In August 2010, underwent a hysterosalpingogram which showed uterine malformation. Currently, no treatment has been done.
What to do? How can I be helped? Should I have surgery?
What are the chances of restoring fertility after surgery? Can I have children after the surgery?
Please help me.
Doctor's answer:
Hello, you have scars from uterine fibroid removal. Some fibroids are large and deep, and after the removal surgery, it is similar to having a cesarean section, requiring a certain recovery period. If the wound has not fully healed and you become pregnant immediately, there is a risk of rupture. After the surgery, it is important to practice contraception, which is beneficial for the body's recovery. Post-surgery, women need to use artificial estrogen and progesterone to prevent irregular vaginal bleeding. Women should also pay attention to perineal hygiene after surgery to prevent infection. Remember to follow up promptly. There are many factors that can affect pregnancy, and both men and women can be affected, such as abnormal semen in men, immune factors, ovulation disorders in women, fallopian tube inflammation, endometritis, cervical/vaginal factors, and endocrine factors, among others.