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 intrauterine fetal death is relatively high. This is because the septate uterus has fewer blood vessels and more fibrous tissue compared to the normal uterine muscle layer, which can hinder normal implantation. Additionally, the endometrium covering the septum responds poorly to corresponding hormonal stimulation, which may further impede 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 to conceive. This can help reduce harm to both the mother and the child.