Septate Uterus May Be The Cause For Your Miscarriage! – Antai Hospital

Septate Uterus Causes Miscarriage & Recurrent Miscarriage

Overview

Does a septate uterus cause recurrent miscarriage? Septate uterus is responsible for many recurrent early and late miscarriages. According to research by PubMed Central, an estimate of up to 40 percent of women with uterine septum goes through miscarriage. 

So, what is a septate uterus? It is a malformation of the uterus, otherwise known as uterus anomaly. Uterus anomalies are a congenital condition that women are born with, and a septate uterus is the most common out of all the anomalies. A septate uterus is where the septum divides the uterus partially or completely. Refer to Fig 1 below.

Symptoms Of A Septate Uterus

A septate uterus is usually asymptomatic, and it does not necessarily lead to fertility or pregnancy issues. However, the dividing septum mainly comprises fibrous band of tissue, which obstructs blood circulation. As a result, it can easily lead to miscarriage, infertility, premature birth, or abnormal fetal position.

Diagnosis Of A Septate Uterus

1. Hysterosalpingography (HSG). HSG is one of the most used method of diagnosis. 
2. 4D Color Doppler Ultrasound. The results will be more accurate if the ultrasound is done before menstruation. 
3. Diagnostic digital Hysteroscopy. Hysteroscopy is the most direct and accurate in determining the type of uterine anomaly. It can also check if the septate is partial or complete. Hysteroscopy should be done routinely before proceeding with the septum removal surgery.

The Conventional Method Of Treating A Septate Uterus

Before the existence of operative hysteroscopy, an abdominal surgery was done to remove the septate. The surgeons would either remove the septate by making an incision on: 

1. The fundus (uppermost curved portion) of the uterus, or
2. The body (middle) of the uterus

After removal of the septate, the muscle wall of the uterus would be reconstructed. However, this method creates large surgical scars and requires long recovery time. It might even lead to intrauterine adhesions (Asherman’s syndrome) where scar tissues are formed between the inner walls of the uterus. As a result, some must wait a few years before getting pregnant and can only give birth through a caesarean delivery. Currently, many hospitals remove the septate through operative hysteroscopy. However, there possibility of intrauterine adhesions after the surgery still exists, and it might even lead to infertility. 

Antai Hospital Offers Treatment For Septate Uterus

Antai hospital uses both hysteroscopy and laparoscopy to remove the dividing septum. With the help of a hysteroscope and laparoscope, the dividing septum is removed using conventional surgical instruments, rather than electrosurgical instruments. With conventional instruments, the likelihood of scarring is greatly reduced. Before closing the incision site, an adhesion barrier will be placed to further lessen internal scarring. Within 7 days, the tissue surfaces will heal, and the adhesion barrier will dissolve. After the surgery, the uterus will be shaped normally, and patients can conceive naturally. 

To Conclude

Although women with a septate uterus will face a high risk of miscarriage, it is still possible to have normal pregnancies even with this condition.

However, if you have had recurrent miscarriage, please consult your doctor to receive an accurate diagnosis. You are highly encouraged to receive the treatment for septate uterus at Antai hospital to reduce the likelihood of scarring as it can cause intrauterine adhesions. 

Miscarriages can be emotionally and physically traumatizing. It is essential to do a complete body check before getting pregnant again, especially if you have had recurrent miscarriages to have healthy pregnancies in the future. 

Antai hospital is a service-centric maternity hospital specializing in recurrent miscarriage with a 95 percent success rate. At Antai, we care for your well-being. It is our priority to provide accurate diagnosis and effective treatment for our patients.

Contact Antai Hospital for more information regarding the full diagnostic services and our specialized surgical treatment available. 

Trust in Antai Hospital and trust in yourself, your pregnancy is our priority.