Decoding Uterine Septum and Infertility Issues

This uterine septum significantly impacts fertility and can lead to issues such as infertility, recurrent miscarriages, ectopic pregnancies, and even biochemical pregnancies. Diagnosis is relatively straightforward and can be confirmed through various examinations, such as dynamic digital hysterosalpingography, panoramic four-dimensional color ultrasound, and hysteroscopy.

However, many clinical doctors are unfamiliar with this condition, leading to patients undergoing repeated attempts at treatment, and sometimes even resorting to costly options like in vitro fertilization (IVF), which often end in failure.

In the past, the clinical approach involved cutting open the uterus to remove the septum and then stitching it back together. However, this method resulted in the disappearance of the septum and alterations in the uterine cavity, possibly leading to complications like uterine and pelvic adhesions, further hindering pregnancy.

With technological advancements, a method using a hysteroscope and electric knife to cut the septum has been developed, which restores a normal uterine cavity shape. Nevertheless, this approach may cause electrically-caused scars within the cavity, leading to reduced menstrual flow, infertility, miscarriages, and painful periods, making it less than ideal as a treatment.

In contrast, the cold knife division technique proposed by Beijing Antai Hospital, in conjunction with biodegradable barrier and pear-shaped stents for uterine shaping, has become the optimal choice. This treatment not only ensures a normal uterine shape but also avoids secondary complications like uterine adhesions, reduced menstrual flow, and painful periods, thereby increasing the chances of successful pregnancies and offering better prospects for patients to achieve their desire for childbirth.

For patients with uterine septum anomalies, it is essential to seek a definitive diagnosis from specialized doctors to avoid unnecessary attempts at conception, thus preventing additional time, suffering, and financial loss. Attempting conception is not the appropriate approach to solving the problem and is rather irresponsible and disrespectful to both patients and medical professionals. Therefore, to reduce misdiagnosis, patients should opt for consultations with experienced specialists for accurate diagnoses and subsequent treatment.

In conclusion, uterine septum issues pose a high risk of misdiagnosis in clinical practice, and many cases of recurrent miscarriages and biochemical pregnancies are related to this condition. By adopting the best treatment options, such as Beijing Antai Hospital’s cold knife division technique with biodegradable barrier and pear-shaped stents, patients can better fulfill their desires for childbirth and welcome a healthy child into their lives.