Can you get pregnant with a uterine septum?

A septate uterus does not typically affect a woman’s ability to conceive, but it does significantly increase their risk of a miscarriage. Women with septate uteri can also go on to have recurrent miscarriages.

What is hysteroscopic septum resection?

Restoration of the anatomy of the uterus by hysteroscopic septum resection is an established intervention. This treatment has been assessed mainly in retrospective cohort studies, which suggested a positive effect on pregnancy outcomes.

How long is recovery from uterine septum surgery?

Recovery from Septum Surgery Depending on the type of surgery, you should be able to return to work within a day or two following surgery and can expect a full recovery after about 2-4 weeks. You may experience some abdominal pain after uterine surgery, and vaginal pain after vaginal surgery.

What happens if embryo implants on septum?

A septum between uterine cavities may not have adequate blood supply to sustain an embryo. That means if an embryo implants upon it, there may be an increased chance for pregnancy loss. The septum can be removed with a simple surgical procedure.

Is there evidence for septum resection in women?

Current evidence for this procedure is based on observational studies in which all women underwent septum resection in before/after design studies and in non-randomized comparative studies in which women could choose between septum resection and expectant management.

How does septum resection affect the live birth rate?

In women with a septate uterus, septum resection does not increase live birth rate nor does it decrease the rates of pregnancy loss or preterm birth, compared with expectant management. The septate uterus is the most common uterine anomaly with an estimated prevalence of 0.2–2.3% in women of reproductive age, depending on the classification system.

Can a septum be removed from a uterus?

Based on low quality evidence, current guidelines recommend removal of the intrauterine septum or, more cautiously, state that the procedure should be evaluated in future studies.

Can a septate uterus be diagnosed after a miscarriage?

Other than a miscarriage or recurrent miscarriage, there aren’t any symptoms of a septate uterus. It’s often only diagnosed after an investigation into the cause of miscarriages. Sometimes it can be picked up during a routine pelvic exam if the septum extends beyond the uterus to include the cervix and vagina as well.