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If it is discovered that the uterus has a septum, the patient should be examined and monitored by an obstetrician-gynecologist, consulted and prescribed appropriate treatment to avoid adverse effects on fertility as well as the pregnancy process. pregnancy and labor, protect the health of mother and fetus.1. What is a septate uterus?
The uterus is an important part of a woman's reproductive organs. According to statistics, about 3.2% of women have abnormalities in the uterus. Septic uterus is the most common type of uterine malformation (about 40%). These cases can make pregnancy difficult, even infertility in women
In women with a normal uterus, there is an empty space in the uterus. However, for women with a uterine septum, this space splits in half. Uterine septum has 2 types:
Total uterine septum: The septum completely divides the uterus into 2 separate parts. Partial uterine septum: The septum does not completely divide the uterus, but still limits internal space.
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2. Can a uterus with a septum get pregnant?
In fact, a uterus with a partial septum is still capable of getting pregnant, but it can cause difficulties once pregnancy has begun. However, women with partial uterine septum can still get pregnant and the baby will still develop and be born normally. In case the uterus has a full septum, the chances of conception will be less.
When a pregnant woman is pregnant, the partial and total uterine septum will more or less affect the pregnancy such as:
Increase the possibility of miscarriage: The uterine septum can increase the possibility of miscarriage, because the uterine cavity narrow, reducing the ability of the fetus to develop. Abnormal increase in fetal position: Due to the narrow space in the uterus being divided, the fetus may be obstructed when turning its head, leading to an unfavorable fetal position. However, in some cases, the fetus still turns normally and the mother can complete the birth smoothly. Premature birth: A septum uterus can also cause premature rupture of membranes, premature birth in late pregnancy. Increase the possibility of cesarean section: Most pregnant women are aiming for a normal delivery, but in mothers with uterine septum, the possibility of a cesarean section will be high because of the breech position or the appearance of some abnormalities during pregnancy. The uterine septum is a great obstacle for women, so in order to limit complications, when detecting that the uterus has a septum, the patient often needs surgery to create a normal shape for the uterus.
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3. Laparoscopic surgery to cut the longitudinal septum of the uterus
Treatment of uterus with septum is only done before or after pregnancy and the main method is laparoscopic hysterectomy to cut the septum and create a uterus. However, there are also cases where the doctor will perform a hysterectomy after performing a cesarean section.
Laparoscopic hysterectomy method to cut the longitudinal septum of the uterus is indicated in cases where the septum makes the patient childless.
Contraindicated in case of other types of genital malformations.
3.1. Step 1: Sterilize diagnostic and surgical hysteroscopy instruments, laparoscopy instruments. Step 2: Full body examination, specialist assesses co-morbidities and advises patients on risks, complications, and complications of surgery. Step 3. Instruct the patient to lie in the gynecological position and relieve pain in the whole body; Step 4: Disinfect the genital area of the patient. Then, catheterize and save the catheter; insert a vaginal valve or speculum; Cervical pairing with Pozzi forceps. Step 5: Probe the uterus with a measuring tape by inserting a diagnostic laparoscope into the uterine cavity and then straining the uterine cavity with one of the following solutions: Hyskon, mannitol, sorbitol, dextran. Step 6: Observe the uterine cavity on both sides of the septum, determine the position, size, and shape of the septum to cut the septum. Step 7: Conduct cervical dilation to 10.5. Step 8: Insert the surgical scope into the uterine cavity and then use the straight cutting tip or roller ball to cut the septum. The cutting position is in the middle of the height of the baffle. Step 9: Observe closely and then cut the uterine septum. Complete removal of the septum based on the location of the two fallopian tubes. Step 10: Repeat hysteroscopy to confirm that there is no bleeding and that the uterine cavity is intact.
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3.2. Post-operative care Monitor your body, pulse, blood pressure, and vaginal bleeding within a few hours after the procedure. Exercise gently, avoid doing heavy or overexerting work; Ask your doctor about nutrition to quickly recover after the procedure; Abstain from sex for at least 2-4 weeks. Repeat hysteroscopy after several months to assess the integrity of the uterus. As a safe procedure, however, hysteroscopic surgery to remove the longitudinal septum may cause some complications during or after the procedure such as:
Uterine perforation Circulatory overload due to fluid stretch the uterine cavity into the blood vessels. Infection.
If you have unusual symptoms, you should be examined and consulted with a specialist.
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