What are the treatments for uterine septate?

The uterus is a relatively important part of the female body and is also an important location for nurturing the next generation. However, many people always have physical problems due to some reasons, one of which is the occurrence of uterine septate. It has brought certain impacts to patients, so many people want to know what are the treatments for uterine septate? I hope that through the editor’s introduction, everyone can know the cause and find a solution.

After the bilateral paramesonephric ducts are completely fused, the absorption of the septum is impaired, resulting in a septate uterus (utertIs stum), which is divided into complete septate uterus and incomplete septate uterus. Cause: Septate uterus is caused by the fusion of bilateral paramesonephric ducts, which results in obstruction of a certain process of septum absorption, resulting in varying degrees of septate uterus. The incidence rate is 0.009%-12%, and the incidence rate in the population is unknown. It accounts for about 75% of uterine malformations and is a common uterine malformation.

First, let us introduce the tradition of uterine septate. Before the advent of hysteroscopic surgery, the treatment of uterine septate was to make a transverse incision at the fundus of the uterus through the abdomen, shear the septum, or make a midline incision in the uterine body to trim the uterine septum and reconstruct the uterine muscle wall. This procedure will leave scars on the uterus and abdominal wall, cause great trauma, take a long time to recover, and may even cause uterine adhesions, which will have a certain impact on future pregnancies. It will also require contraception for several years before pregnancy, and most women will need to undergo a cesarean section.

Many hospitals now use hysteroscopic electrosurgical excision loop to remove the septate uterus. After the operation, it often leads to adhesions in the uterine cavity or cohesion of the two uterine horns, forming the so-called "cross-eyed". Infertility after surgery further aggravates the condition. The reason is that uterine septum is not redundant tissue, but is caused by adhesion of connective tissue. Artificial cycles and IUD placement cannot prevent adhesions and cornual cohesion.

Many patients believe that uterine septum will not have any effect on pregnancy. Some patients also understand that uterine septum will affect pregnancy, but they still hold on to the hope that they may become pregnant. If the uterine septum is large, it can easily lead to infertility. A moderate mediastinum can easily lead to ectopic pregnancy. A small mediastinum can easily lead to fetal growth retardation and habitual miscarriage. In short, uterine septum has a certain impact on fertility. Therefore, patients should receive treatment as early as possible.

After reading the above introduction to the treatments for uterine septate, I believe many women have a certain understanding. In this way, you will have a psychological framework and the treatment will be smoother. At the same time, patients are reminded that they must go to a regular hospital for treatment, so as to better ensure their health.