Patient's question:
I have a completely septate uterus. Can I get pregnant normally? If not, can surgery be used to treat it? What are the chances of successfully getting pregnant after treatment? Thank you.I am 26 years old. The result of my ultrasound at the hospital was "completely septate uterus." The doctor told me it might lead to infertility,... I am very worried. I want to have a child. First question supplement: I need 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 surgically corrected?
Doctor's answer:
Hello: Uterine septum accounts for about 80% of uterine malformations and is the most common uterine malformation causing natural miscarriage and preterm birth. The main cause of miscarriage due to uterine septum is ischemia in the septal area and poor endometrial development, leading to insufficient blood supply after fertilization and affecting 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 rate of miscarriage. The uterine septum is caused by 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. This divides the uterine body into two halves, while the lower segment remains connected, and the external appearance of the uterus is completely normal, with a normal cervix and vagina. Sometimes, the septum extends into the vagina, forming a vaginal septum. Clinically, uterine septum often shows no symptoms and is difficult to diagnose. It is usually discovered only after experiencing infertility or habitual miscarriage. Uterine septum is a type of uterine malformation. There are many methods for diagnosing uterine malformations, such as pelvic examination, hysterosalpingography, abdominal or vaginal ultrasound, magnetic resonance imaging (MRI), CT, etc., but 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 miscarriage. It has been reported that 40% of cases lead to infertility, and 35% have at least two or more miscarriages before being diagnosed. The traditional surgical method for treating uterine septum involves laparotomy to open the uterine wall and remove the septum along with a portion of the uterine wall. This method causes significant trauma, requires a long recovery period, and patients must use contraception for 3-4 years before becoming pregnant. Delivery must be performed via cesarean section, and