Guidelines

Can you fix a Septate uterus?

Can you fix a Septate uterus?

A septate uterus can be treated with a surgery called a metroplasty. The procedure is now carried out with a hysteroscopy. The hysteroscopic procedure allows for treatment to be done within the uterus without the need for an outer abdominal incision.

Can you have a healthy baby with a Septate uterus?

Women with a septate uterus can have a normal reproductive life, but it may add complications to pregnancy. There is a higher risk for miscarriage, premature labor or breech presentation (when the baby’s feet come out first), which usually requires a Caesarean section.

How rare is a Septate uterus?

Septate uterus is the most common congenital uterine malformation, affecting 1 percent of all women.

Does a Septate uterus affect periods?

A septate (or partial septate) uterus can result in more endometrial lining (or surface area) of the uterus so this can mean heavier bleeding. However, it does depend on the size of the partial septum. For many women with a partial septum, there is no interference with menstruation and fertility.

What kind of hysterosalpingogram is a septate uterus?

Hysterosalpingogram. An angle of less than 75 ° between the uterine horns is suggestive of a septate uterus, and an angle of more than 105° is more consistent with bicornuate uteri. Unfortunately, the majority of angles of divergence between the horns fall between these ranges, and considerable overlap between the two anomalies is noted.

What should I look for on a hysterosalpingogram?

Considerations on hysterosalpingogram include: bicornuate uterus : the shape of the external uterine contour is crucial to differentiate a septate uterus from a bicornuate uterus because widely different clinical and interventional approaches are assigned to each anomaly On ultrasound or MRI images also consider:

When to use hysterosalpingography for tubal patency?

Hysterosalpingography (HSG) is a common method of assessing tubal patency. It frequently is used in the evaluation of infertile patients who are at increased risk for the presence of myomas. Myomas can be detected by hysterosalpingography if they are present within the uterine cavity or significantly distort the uterine cavity.

What should the angle be for a septate uterus?

An angle of less than 75° between the uterine horns is suggestive of a septate uterus, and an angle of more than 105° is more consistent with bicornuate uteri.