How to check for uterine septate? What are the methods?

There are generally three methods to examine the uterus with mediastinum. Hysterosalpingography, color ultrasound, and hysteroscopy can be used to diagnose whether a uterus with mediastinum exists. If a uterine septate is found, treatment should be started early to minimize the damage.

Diagnostic Methods

1. Dynamic digital hysterosalpingography is one of the important examination methods for uterine septum;

2. Vaginal four-dimensional color Doppler ultrasound is more accurate in diagnosis before menstruation;

3. Hysteroscopy: Hysteroscopy can more directly and accurately determine the type of uterine septum. It is the "gold standard" for diagnosing uterine septum. It can distinguish between complete and incomplete uterine septum and diagnose lesions in the uterine cavity. Hysteroscopy should be performed routinely before hysterectomy.

Conventional treatment

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 methods for treating uterine septum were to remove the septum tissue vaginally or abdominally. The former was difficult to operate and blind, resulting in incomplete septum removal and poor results; abdominal surgery was to make a transverse incision at the fundus of the uterus to shear the septum, or to make a median incision in the uterine body to trim the uterine septum and reconstruct the uterine muscle wall. No matter which of the above surgical procedures is used, it will leave scars on the uterus and abdominal wall, cause great trauma, and take a long time to recover. It may even cause uterine adhesions, which will have a certain impact on future pregnancies. In addition, contraception will be required for several years before pregnancy, and cesarean section will often be required. Hysteroscopic resection of uterine septum 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 adhesions.

Under laparoscopic monitoring, use cold scissors to cut the "mediastinum" horizontally under direct vision of the hysteroscope. The transverse diameter of the uterus will be shortened immediately, the saddle shape will disappear, and a biological anti-adhesion membrane and Antai's specially developed biological anti-adhesion pear-shaped stent will be placed to prevent adhesion. After treating more than a thousand cases, more than 90% of the uterine cavity morphology returned to normal after surgery. The success rate of pregnancy is over 95%.