A uterine septum divides the uterus into two cavities and prevent pregnancy.
The septum may be complete, dividing the uterus to the cervical opening, or partial. This condition is due to a band of tissue that does not absorb prior to birth, while the uterus is developing. The cause for uterine septum is unknown.
A uterine septum can cause infertility and pregnancy complications in women. Even when uterine septum does not inhibit conception, other problems may arise. Uterine septum may cause:
- Repeated miscarriage – both early and late term
- Premature labor
- Premature birth
- Poor fetal positioning for birth, or malpresentation
- Intrauterine growth retardation (due to the septum not having the same healthy blood supply as the normal uterine wall)
Diagnosing uterine septum
Uterine septum is generally first diagnosed during an infertility exam, which may be performed following recurrent miscarriage. Diagnostic tests include:
- Saline Ultrasound
- Hysterosalpingogram, which requires injecting dye and taking X-rays
- Hysteroscopy and laparoscopy
Treating uterine septum
Most fertility specialists recommend that uterine septum be surgically treated. A minimally invasive procedure called hysteroscopic metroplasty (or septum resection) is an effective option that doesn’t require abdominal incisions, especially for smaller septums. Occasionally for larger septums, the hysteroscopy is coupled with a laparoscopy so that both the inside and outside of the uterus can be visualized simultaneously. Both procedures are performed under general anesthesia. Surgical solutions for uterine septum have been shown to increase pregnancy and live birth rates in previously infertile patients.
If diagnostic testing reveals that you have uterine septum, Dr. Susan Hudson has the skill and expertise to treat your condition and help you get closer to your dream of having a family. Trust the team of experts at Texas Fertility Center New Braunfels – contact us today!