Can a uterus with a transverse septum get pregnant?

Patient's question:

No

Doctor's answer:

Patients with a septate uterus may experience intrauterine growth restriction even if they become pregnant, and the risk of fetal intrauterine death is relatively high. This is because the septate uterus has fewer blood vessels and more fibrous tissue compared to the normal myometrium, which can hinder normal implantation. Additionally, the endometrium covering the septum responds poorly to corresponding hormonal stimulation, potentially impairing normal placental development, leading to early fetal death. If pregnancy continues, it may result in intrauterine growth restriction.
Therefore, if a septate uterus is detected, it is best to undergo treatment at a hospital before attempting pregnancy. This can reduce harm to both the patient and the child.