How to treat arcuate uterus

The arcuate uterus is a saddle-shaped uterus, which is also a uterine malformation. If this phenomenon occurs, it is easy to affect the female's fertility, and even if pregnancy occurs, it can easily cause miscarriage, so it is necessary to pay attention to correct diagnosis and treatment.

1. Diagnosis of arcuate uterus

If there is a history of ectopic pregnancy, habitual miscarriage, malposition of the fetus in each pregnancy, or dystocia, the possibility of uterine malformation should be considered first. Dynamic digital hysterosalpingography, vaginal four-dimensional color ultrasound and electronic stereoscopic hysteroscopy can confirm the diagnosis. Reproductive organ malformations are often accompanied by urinary system malformations or lower gastrointestinal tract malformations. If necessary, intravenous pyelography or barium enema examination can be performed. When urinary tract or lower gastrointestinal tract malformations are found, a detailed examination is also required to check for reproductive organ malformations, including uterine malformations.

2. Treatment of arcuate uterus

Generally, no treatment is required. If symptoms such as multiple miscarriages and infertility occur, the first thing to consider is whether it is an arcuate uterus.

1. Through endocrine therapy

That is, taking endocrine regulating drugs according to endocrine conditions, but this method does not have much effect.

2. Uterine fusion

All patients with recurrent miscarriage should undergo surgery as soon as possible. Make a horizontal incision from one uterine horn to the other uterine horn in the two separated uterine horns, cut the muscle wall in half, and sew the left and right incisions together facing each other.

3. Hysteroscopic treatment

Some of the raised mediastinum can be slightly removed through hysteroscopic surgery.