Difficult problem: Uterine malformation. After undergoing hysteroscopy and laparoscopy, can she get pregnant?

Patient's question:

I am from Xiangfan, Hubei. I've been married for nearly four years and am a patient with secondary infertility. My menstrual cycle comes on time every month, lasting 3-4 days, with light and dark-colored flow. My husband's semen analysis results are normal. In 2005, I had a hysterosalpingogram (HSG) using iodized oil, with the results showing: a "strip-like" unicornuate uterus, adhesive fallopian tubes, and now the fallopian tubes are patent, but still adhesed to the extrapelvic area. (I suspect that the uterus appears deformed due to adhesions, but I'm not sure if that's correct?). In May 2008, the local hospital admitted me and recommended a laparoscopy and hysteroscopy for examination and treatment to understand the uterine morphology and endometrial development. (I plan to undergo IVF), but now I'm not sure if...

Doctor's answer:

Hello: In vitro fertilization is a hope for anyone, but it is not suitable for everyone. The success rate is very low, and the cost is high. If you have problems with your endometrium, even if you undergo in vitro fertilization successfully, you still do not have the conditions for gestation and are still very likely to have a miscarriage. Our hospital is a specialized hospital for treating infertility, and for your condition, we adopt the 3-mirror combined surgery. We suggest you come to our hospital for a check-up to clarify the specific situation and receive targeted treatment. Do not miss the best age for conception. If you have any questions, please feel free to contact us at any time. Wish you health!

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