Septate Uterus: How It Affects Fertility and Treatment Options
A common concern among women diagnosed with a septate uterus is whether this condition can affect their ability to conceive and maintain a pregnancy. While some women with this congenital anomaly may have successful pregnancies without complications, in other cases, it can increase the risk of miscarriages or implantation failure. Below, we explore what a septate uterus is, how it is diagnosed, and what treatment options can improve fertility outcomes in assisted reproduction.
What Is a Septate Uterus?
A septate uterus is one of the most common congenital uterine malformations, characterized by a fibrous or muscular partition that partially or cWhat Is a Septate Uterus? A septate uterus is one of the most common congenital uterine malformations, characterized by a fibrous or muscular partition that partially or completely divides the uterine cavity. Although the uterus may appear normal externally, this division can interfere with embryo implantation and increase pregnancy complications.ompletely divides the uterine cavity. Although the uterus may appear normal externally, this division can interfere with embryo implantation and increase pregnancy complications.
Types of Septate Uterus
- Partial septate uterus: The partition does not reach the cervical opening, allowing some communication between the two halves.
- Complete septate uterus: The partition extends to the internal or external cervical opening, fully dividing the uterine cavity.
How Does a Septate Uterus Affect Fertility?
The impact of a septate uterus on fertility depends on the severity of the condition. Possible complications include:
- Increased miscarriage risk: Particularly in complete septate uterus, where embryo implantation may be compromised.
- Implantation issues: The septum has poor blood supply, making it difficult for the embryo to attach successfully.
- Preterm birth and fetal malposition: The reduced uterine space can sometimes affect pregnancy progression.
How Does a Septate Uterus Affect Fertility?
The impact of a septate uterus on fertility depends on the severity of the condition. Possible complications include:
- Increased miscarriage risk: Particularly in complete septate uterus, where embryo implantation may be compromised.
- Implantation issues: The septum has poor blood supply, making it difficult for the embryo to attach successfully.
- Preterm birth and fetal malposition: The reduced uterine space can sometimes affect pregnancy progression.
How Is a Septate Uterus Diagnosed?
To diagnose a septate uterus, several imaging techniques help assess its structure:
- 3D Ultrasound: Provides a detailed view of uterine morphology and distinguishes a septate uterus from other anomalies like a bicornuate uterus.
- Magnetic Resonance Imaging (MRI): Offers a more comprehensive evaluation of uterine malformations.
- Diagnostic Hysteroscopy: A minimally invasive procedure where a small camera is inserted through the cervix to examine the uterine cavity.
Treatment for Septate Uterus
When a septate uterus is associated with recurrent miscarriages or implantation failure, the recommended treatment is hysteroscopic surgery. This procedure removes the uterine septum and restores the uterine anatomy, significantly improving pregnancy success rates.
What Is Hysteroscopic Surgery?
- A minimally invasive procedure performed under sedation.
- Allows for a quick recovery with minimal post-operative discomfort.
- Should ideally be performed before attempting pregnancy.
A septate uterus is a common condition that may affect fertility and pregnancy outcomes. However, with early diagnosis and appropriate treatment, many women achieve successful pregnancies. At Clínica Fertia, we offer personalized treatment plans to help improve fertility outcomes and maximize the chances of conception.
