Is surgery for uterine septate risky? What are the treatment options?

Friends with uterine septate should not worry too much about whether they can get pregnant. They can treat the disease first. The methods for treating uterine septateness are relatively mature. Patients should choose the appropriate treatment method based on their own conditions. This is the correct way.

Uterine septum is caused by obstruction of the fusion of the bilateral mesonephric ducts during congenital development. The incidence of uterine septate and bicornuate uterus is 5%. Uterine septate changes the symmetry of the uterine cavity and may interfere with normal reproductive function. It can easily cause primary infertility or refractory infertility. Clinical manifestations of uterine septate

Patients with uterine septate are mostly asymptomatic clinically, and some patients may have increased menstruation; but most patients with uterine septate have a history of recurrent miscarriage, infertility, premature birth and abnormal fetal position, and some are discovered during cesarean section or curettage for artificial abortion.

Secondly, some patients were found to have vaginal septate during pelvic examination, and the doctor further examined and found uterine septate. Even if a woman becomes pregnant with a septate uterus, the incidence of intrauterine growth retardation and intrauterine death is higher because the septum has fewer blood vessels and more fibrous tissue than the normal uterine myometrium, which hinders normal implantation.

The relative risk of miscarriage and premature birth caused by uterine septum ranges from 5% to 95%, so once discovered, it should be treated in advance. Before the advent of hysteroscopic surgery, the surgical method for treating uterine septum was to remove the septum tissue vaginally or abdominally. The former was difficult to perform and blind, resulting in incomplete removal of the septum and poor results.

The best approach is hysteroscopic removal of the uterine septum. It is a minimally invasive surgical treatment. Hysteroscopic septum resection is to remove the residual embryonic tissue in the blood vessels. There is no obvious bleeding during the operation, little trauma, and quick recovery. The IUD is placed after the operation, and artificial cycle is used to prevent adhesion.

First of all, when you find out that you have the disease, don’t panic too much. Prepare with a good attitude and go for the surgery without worrying too much. Although this disease affects successful pregnancy or the growth of the fetus, with the development of technology, hysteroscopic resection surgery has been improved. Active postoperative care and maintaining a good attitude are the key.