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A septate uterus is a deformity of the uterus that occurs during fetal development before birth. This abnormal condition significantly affects conception and pregnancy. This condition can be treated with surgery that has shown to significantly improve a woman's ability to get pregnant.1. How does a septum affect fertility?
A septate uterus does not usually affect a woman's ability to conceive, but it greatly increases the risk of miscarriage.
The septum itself is a fibrous tissue that doesn't have much of a blood supply. Therefore, if the fertilized egg is implanted in the septum, the fetus will have less chance of normal development because the nutrient source is not enough to develop. An unusual aspect of a septal uterus is that miscarriages usually occur in the second trimester of pregnancy, but miscarriages without a septum occur during the first trimester.
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A septal uterus is thought to be the most common type of uterine abnormality, with an estimated more than half of uterine growth problems related to the septum.
Women with a septate uterus are at increased risk of miscarriage and multiple miscarriages. Pregnancy occurring in the uterus with any type of abnormal growth that increases the risk:
Preterm birth Reverse side Cesarean section Bleeding complications after delivery
2. Signs of a uterus with a septum
Unlike a miscarriage or recurrent miscarriage, a septate uterus doesn't have any symptoms. It is usually only diagnosed after investigating the cause of the miscarriage or seeing a doctor for another health problem.
Tử cung có vách ngăn không có bất kỳ triệu chứng nào
3. Why does the uterus have a septum?
A septate uterus is a genetic abnormality that doctors still don't know what causes this abnormality.This phenomenon occurs when the embryo is developing, the uterus of the fetus begins to develop into two tubes and eventually merges to become a uterus in the middle of the body. In a septum uterus, these two tubes fuse together not quite effectively.
4. Diagnosis of uterus with septum
A septate uterus can be seen on a 2-D pelvic ultrasound. Additionally, your doctor may use an MRI to get a closer and more precise look at problems with your uterus.To confirm the diagnosis, your doctor will order a hysterosalpingogram (Hysterosalpingogram) which is an X-ray procedure that allows the doctor to look inside the uterus and fallopian tubes and surrounding area to see look for problems inside the uterus, like an abnormal shape or structure. The test can also look for an injury, polyp, fibroids, adhesions, or foreign body in the uterus. These types of problems can cause painful periods or repeated miscarriages.
Hysteroscopy is a procedure that allows a doctor to look inside the uterus for diagnostic or therapeutic purposes. Hysteroscopy allows the doctor to evaluate for abnormal conditions in the uterine cavity. Examples include a tumor, infection, uterine adhesions, or uterine malformation. Abnormalities may be the cause of infertility or repeated miscarriages, which physicians cannot determine from the patient's history, physical examination, or transvaginal ultrasound, or to confirm the results. results of other tests such as a hysterosalpingogram.
5. Treatment of uterus with septum
Điều trị tử cung có vách ngăn như thế nào?
During hysteroscopy, a lighted instrument is inserted into the vagina, through the cervix, and into the uterus. Another tool is also included to cut and remove the septum.
This is a minimally invasive technique and usually takes about an hour. Patients who choose this treatment are usually able to go home the same day.
After surgery, between 50 and 80% of women with a history of miscarriage will go on to have healthy pregnancies in the future. In women who have not been able to get pregnant before, up to 20% may be able to become pregnant after this procedure.
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