Septate Uterus: Underestimated and Undiagnosed – Antai Hospital

The septate uterus is a commonly misdiagnosed, undiagnosed, and neglected condition, which many doctors and experts of the field believe to be a relatively harmless factor in infertility, ectopic pregnancies, chemical pregnancy and recurrent miscarriage. In Antai Hospital’s 20-year history in the treatment of all pregnancy related complications, the most common cause we have observed is an untreated septate that is has either been undiagnosed or advised to be harmless if it is mild.

Particularly, mild, or less severe forms of septate are not taken seriously and a generally considered to have no effect in pregnancy outcomes, which is incorrect in our opinion.

What is a septate uterus?

A septate uterus is the most common form of uterine malformation, meaning uterus with abnormal shape and size. For this form of uterine anomaly, there exists a septum consisting of primarily connective tissues which is protruding towards the inner cavity. It can vary in severity depending on the degree of the septum: mild, medium & severe septate.

This congenital uterine abnormality originates in a defect the fusion of the two Mullerian Ducts during embryogenesis. Although it does not cause any symptoms, it can lead to high risk of pregnancy losses, recurrent miscarriage, and ectopic pregnancies: all of which occurs within the first trimester.

Diagnosis is done via the highly effective Hysterosalpingograph, where an Iodine Dye is inserted into the uterine cavity to capture the morphology. How septates cause pregnancy complications are that for miscarriages that occur within the first trimester, the implantation can occur directly on the septum as the embryo can encounter this directly after exiting the fallopian tube. This will lead to malnourishment and lack of oxygen for embryonic development, leading to an early miscarriage. Depending on the severity, this miscarriage can occur within 2-3 weeks of gestation, otherwise known as a chemical pregnancy. For ectopic pregnancies, the septate can cause the altering of movement of the embryo during implantation and lead it to the opposite fallopian tube, causing the most common Tubal pregnancy with its own potential life-threatening complications. This can happen regardless of septate severity.

Mild septates are not emphasize for treatment

Many times, doctors only believe surgical managements should only be recommended for only severe septate despite the surgical hysteroscopic intervention being relatively simple and minor. There is a lack of awareness that even mild septate can equally cause high risk of pregnancy failures and ectopic pregnancies. They do not remove septums that are medium or mild, as they consider it to unproblematic and does not contribute to any potential pregnancy complications.

Here at Antai Hospital, with our expertise and experience, we have seen many patients with mild septates that have history of pregnancy complication. They were never provided with surgical correction treatment for their septates due to it being mild, yet they were still experiencing pregnancy failure after pregnancy failure, when the underlying cause is rather obvious.

Upon receiving hysteroscopic corrective surgery which removes the excess connective tissue of the septum, restoring a healthy pear-shape size of the uterine cavity. Our doctors will then place an intrauterine stent to maintain the pear-shape and a bio-adhesion barrier which prevents adhesions. These patients have now gotten full-term pregnancies and started their own families.

Antai Hospital’s Commitment

Antai Hospital’s full refund policy for the miscarriage prevention treatments we provide should already be the best guarantee for a healthy pregnancy. Patients should rest assured, can and should go about their everyday life, focusing their diet on vegetables, beans, celery, and other fiber-rich foods. Besides that, an active lifestyle of yoga and swimming should also be incorporated to help relieve stress and increase blood circulation, which is beneficial for the fetus’s development and the mother’s health. With our assurance, a healthy lifestyle, and peace of mind, you can go through a healthy pregnancy with no complications.

Recurrent miscarriages are no doubt a heavy blow to the patient’s physical and mental health. All we can do is to help ease the burden and decrease your trauma, to slowly help you overcome the anxiety with the love and care that we provide at Antai Hospital.

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