Pregnancy rate after uterine septum surgery

The uterus is a very important reproductive organ in the female reproductive system. If any lesions occur in the uterus, it will affect a woman's normal fertility. Therefore, before becoming pregnant, women can also go to the hospital for relevant uterine examinations to determine whether there are any problems with the uterus. Among them, uterine septum is a congenital uterine disease. What is the chance of pregnancy if uterine septum surgery occurs?

Under normal circumstances, it is necessary to consider pregnancy about 10 months after uterine septum surgery, and before pregnancy, a transvaginal ultrasound examination should be done to see the recovery of the uterus and whether there is a possibility of uterine adhesion. If adhesion exists, hysteroscopic surgery is required for separation; if the recovery is relatively good, the probability of successful pregnancy again is generally about 80 to 90 percent. Moreover, after the operation, avoid having sex too early to prevent intrauterine infection. Instead, you should choose to have sex during the ovulation period to increase the pregnancy rate.

Symptoms of uterine septum

1. Recurrent miscarriage Some recurrent miscarriages are caused by malformed uterus, among which uterine septate accounts for the majority. Uterine septate occurs frequently in women with recurrent pregnancy failure, especially early pregnancy loss.

2. Infertility cannot rule out the possibility that uterine septum is one of the factors affecting conception in some infertile patients.

3. Ectopic pregnancy (also known as ectopic pregnancy) Due to the complexity of uterine malformations, ectopic pregnancy (also known as ectopic pregnancy) can often occur in closed uterine horns, rudimentary uterine horns, cervix or vaginal diverticula. Because of their rarity, pregnancies in this unusual location are often difficult to diagnose early.

4. Abnormal delivery due to the influence of the mediastinum causes deformation of the uterine cavity, leading to an increased incidence of complications in late pregnancy. Uterine malformation can also lead to obstetric complications such as abnormal fetal position, uterine contraction dysfunction, and retained placenta.

5. Excessive leucorrhea secretion. A small number of patients may have a large amount of purulent and bloody leucorrhea, and some patients may have leucorrhea that resembles dead flesh and has an infectious odor.

6. Menstrual irregularities: If the patient has a relatively large uterine septum, the menstrual volume will increase significantly, the menstrual period will be prolonged, and irregular vaginal bleeding will occur.

7. Secondary anemia: If the patient has heavy menstruation for a long time, it is easy to cause secondary anemia. Generally, such patients have pale complexion and symptoms such as palpitations and general weakness.

Diagnosis of uterine septate

Gynecological examination

Generally, no positive physical signs are found. Occasionally, the cervix may be found to be obviously asymmetrical in the vaginal vault, the cervix is ​​larger, and there may be a septum inside the cervix.

Ultrasonography

Transverse section: The transverse diameter of the uterus is relatively wide, and an attenuated mediastinal echo can be seen in the center of the uterine body, and two uterine bodies are visible; longitudinal section: When the probe is slowly moved from one side of the uterus to the opposite side, one uterine body disappears first and then a unified echo appears.

Lipiodol contrast

It is more commonly used, and the diagnosis can often be confirmed through contrast examination. However, iodized oil contrast examination cannot distinguish between a bicornuate uterus and an incompletely septate uterus, nor can it distinguish between a double uterus and a completely septate uterus. However, it is still a good method for diagnosing uterine malformations.

Hysteroscopy

It has been more commonly used in recent years. It can not only observe the morphology of the uterine cavity, determine the presence and type of mediastinum, but also remove the mediastinum under the microscope to achieve the treatment goal.

Laparotomy

Although hysteroscopy can be used to diagnose most cases, laparotomy combined with iodized oil angiography is still an effective method. Laparotomy can clearly distinguish between a bicornuate uterus and an incomplete septate uterus, and between a didelphys and a complete septate uterus.