Uterine septum

How does a uterine septum condition affect fertility?

Uterine septum results in reduced blood supply which could make it difficult for the embryo to get proper oxygen and nutrition. As a result, given the situation, the embryo is not able to survive thus leading to miscarriage.

What are the causes of uterine septum?

In a female embryo, the uterus starts as two tube like structure that are separated by a septum. Septum normally dissolves, creating a uterine cavity that has enough space for the baby to grow. When the septum does not dissolve, it causes the uterine cavity to be divided and it may be difficult for the embryo to implant on the septum resulting in a miscarriage. 
Women with uterine septum may not have any other problem apart from difficulty getting pregnant or having miscarriages. The condition is usually diagnosed on a special ultrasound exam.

How can uterine septum be treated?

The uterine septum is diagnosed on pelvic ultrasound or pelvic MRI. The idea of removing the uterine septum is to facilitate an environment which is receptive to the growth of the baby.  Surgery is usually recommended which takes about  15-20 mins, depending upon the length of the septum.

The hysteroscope is inserted from the cervix into the uterus. The surgeon then divides the septum under direct visualization. The patient goes home the same day. 

What are the post-surgery effects?

Once the procedure is performed the uterus has a better chance of carrying the embryo. The patient may experience minor pain or bleeding. The procedure is very safe and usually associated with minimal pain.

Please click to view the video link of uterine septum resection.