The uterus with septum is a deformation of the uterus, which occurs during the development of the fetus before birth. This abnormality significantly affects conception and pregnancy. This condition can be treated surgically showing results that significantly improve a woman's ability to become pregnant.
1. How does a septum affect your ability to get pregnant?
The phenomenon of a septum uterus usually does not affect the woman's ability to conceive, but it significantly increases the risk of miscarriage.
The septum itself is a fibrous tissue that does not have much blood supply. Therefore, if the fertilized egg nests in the septum, the fetus will have less chance of normal development because the source of nutrition is not enough to grow. An unusual aspect of a septum uterus is that miscarriage usually occurs in the middle 3 months of pregnancy but for miscarriages without partitions occur in the first tri tri month.
The septum uterus is believed to be the most common type of uterus abnormality, estimating more than half of the abnormal developmental problems of the uterus associated with the septum.
Women with septum uterus are at risk of repeated miscarriages and miscarriages. Pregnancy occurs in the uterus with any type of abnormal development that increases the risk:
- Premature birth
- Inverted throne
- Cesarean section
- Complications of bleeding after birth
2. Signs of a uterus with septum
Unlike miscarriages or recurrent miscarriages, the septum uterus does not have any symptoms. It is usually diagnosed only after investigating the cause of a miscarriage or going to the doctor for other health problems.
3.Why does the uterus have partitions?
The septum uterus is a genetic abnormality that doctors do not currently know what caused this abnormality.
This phenomenon occurs when the embryo is growing, the uterus of the fetus begins to develop into two tubes and eventually ingests again into a uterus in the middle of the body. In the uterus with partitions, these two tubes ingested together are not quite effective.
4. Diagnosis of a septum uterus
The uterus has septum that can be seen on 2-dimensional pelvic ultrasound. In addition, the doctor can use the MRI to learn more and more accurately the problems of the uterus.
To confirm the diagnosis, the doctor will give the patient a Hysterosalpingogram is an X-ray procedure that allows the doctor to look inside the uterus and the ovulation tube and the surrounding area to find problems inside the uterus, such as abnormal shape or structure. The procedure can also look for an injury, polyps, fibroids, sticks or foreign objects in the uterus. These types of problems can cause pain during menstruation or repeated miscarriages.
Hysteroscopy is a procedure that allows the doctor to observe the inside of the uterus for the purpose of diagnosis or treatment. Endoscopy of the uterus allows the doctor to assess abnormal conditions in the uterus cavity. For example, tumors, infections, uterine stickiness or uterine malformation. Abnormalities can be the cause of repeated infertility or miscarriage, which doctors cannot conclude through a patient's biography, clinical examination as well as vaginal ultrasound, or to confirm the results of other tests such as contrast ovarian imaging.
5. Treatment of a septum uterus
The septum uterus can be treated with a surgery called metroplasty performed in alongside a hysteroscopy that allows the treating doctor to perform in the uterus without having to open the abdomen.
During laparoscopy of the uterus, an illuminated instrument is inserted into the vagina, through the uterus and into the uterus. Another tool was also inserted to cut and remove the septum.
This is a minimally invasive technique and usually takes about an hour. Patients who choose this treatment technique can often return home during the day.
After surgery, between 50 and 80% of women with a history of miscarriage will continue to have a healthy pregnancy in the future. In women who were previously unable to get pregnant, up to 20% may be able to become pregnant after this procedure.
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