Uterine Septum: Do You Have One? What Is the Diagnosis? Should You Get A Uterine Septum Removed?
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- Опубліковано 27 чер 2023
- Double board certified OBGYN and REI, Dr. Natalie Crawford, explains what a uterine septum is and gives you all of the information you need if you have a septate uterus or think you might have one. If you are experiencing miscarriages, this is definitely something to rule out. She covers the diagnosis, the procedure to remove it, and other types of uterine birth defects.
Questions Answered:
How is the uterus formed?
What are the different types of uterine birth defects?
What is a uterine septum?
What is a bicornuate uterus?
How can you see the difference between a septate and bicornuate uterus?What are the reproductive outcomes?
Is removing a uterine septum necessary?
How is the septum removed?
What are the risks of the procedure?
Do side effects come with having a septum?
What is the recovery after a septum surgery?
Resources:
Carrera M, Pérez Millan F, Alcázar JL, Alonso L, Caballero M, Carugno J, Dominguez JA, Moratalla E. Effect of Hysteroscopic Metroplasty on Reproductive Outcomes in Women with Septate Uterus: Systematic Review and Meta-Analysis. J Minim Invasive Gynecol. 2022 Apr;29(4):465-475. doi: 10.1016/j.jmig.2021.10.001. Epub 2021 Oct 11. PMID: 34648934.
Jiang Y, Wang L, Wang B, Shen H, Wu J, He J, Liu A, Wang Y, Zhang X, Ma B. Reproductive outcomes of natural pregnancy after hysteroscopic septum resection in patients with a septate uterus: a systematic review and meta-analysis. Am J Obstet Gynecol MFM. 2023 Jan;5(1):100762. doi: 10.1016/j.ajogmf.2022.100762. Epub 2022 Oct 8. PMID: 36220552.
Noventa M, Spagnol G, Marchetti M, Saccardi C, Bonaldo G, Laganà AS, Cavallin F, Andrisani A, Ambrosini G, Vitale SG, Pacheco LA, Haimovich S, Di Spiezio Sardo A, Carugno J, Scioscia M, Garzon S, Bettocchi S, Buzzaccarini G, Tozzi R, Vitagliano A. Uterine Septum with or without Hysteroscopic Metroplasty: Impact on Fertility and Obstetrical Outcomes-A Systematic Review and Meta-Analysis of Observational Research. J Clin Med. 2022 Jun 8;11(12):3290. doi: 10.3390/jcm11123290. PMID: 35743362; PMCID: PMC9224595.
#uterusproblem #miscarriage #infertility
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Fertility doctor, Natalie Crawford, MD is a double board certified OBGYN and REI, and co-founder of Fora Fertility, a boutique fertility practice in Austin, Texas.
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Sharing fertility facts to educate women about trying to conceive, getting pregnant, ovulation, fertility treatments, IUI, IVF, becoming a doctor, life as a woman in medicine, and more.
Thank you for this! I just had mine corrected after suffering from my second miscarriage this year. I wish I had known before we started trying.
As someone with imaging that was unclear between uterine didelphys and bicornuate, I appreciate your empathy regarding the concept of handling it before you have the heartbreak. I am just about to TTC and have been mentally preparing myself for the challenges that could be ahead.
Thank you so much, I was diagnosed with this and no one has taken time to walk me through it. This means a lot to me!
I had 2 failed FETs with euploid embryos. After the 2nd the Dr did a surgical Hysteroscopy and found a small uterine septum. Once this was fixed the 3rd took perfectly and gave me a daughter! No other testing showed the septum. I’m so thankful he suggested surgery!
Amanda how small was your septum. Ive got a 2 cm septum and have had 3 chemicals all from frozen transfer but my FS doesnt think this is playing any oart in failures.
@@jessicaharrison4099I honestly don’t remember how small it was. My Dr couldn’t say that’s what caused the failures but I think it’s strange that the next one worked. If I were you I would insist that it is fixed or find a new Dr who will take it more seriously.
Thank you for this video! I always look forward to them! There’s sooo much going on inside our bodies that we wouldn’t even know about without testing.
Can you do videos explaing letrazol and tamoxifen for infertility? I loved the video you did on clomid.
I went in for a polyp removal yesterday and was told I had a septum that was removed as well. I'm so glad I went to a fertility doctor before started trying! Thank you for this information! It helped me understand and feel more at ease!
This was so wonderfully explained. I found out a few years ago I had a uterine septum and also only 1 kidney. So strange that it’s all connected but I’m glad this is common.
I actually have the same :O 1 kidney and CT scan is indicating septum or subseptum...didnt know its connected....
I have a bicornuate uterus and had a malformed uterer that didn't cause issues til my mid 20s. After it was fixed, we tried for a baby and after 5 miscarriages I was told i had a bicornuate uterus.
I recently found out my daughter has a uterine septum. This is a great explanation. Thank you.
So glad it was helpful!
Great video, I was told for years I had a bicornuate uterus…then after multiple losses I was told it’s a Septate uterus.
I suffer with secondary infertility loss, I’ve early losses but I managed to carry my daughter until nearly 5 months then her heart stopped with no signs of miscarriage and had to go in to be induced so that I’m a way also gave me hope that I could carry as the septate didn’t cause the loss they said. last year I was told to get it removed and I just felt like that was a delay as they mentioned I’d have to recover for 6 months…and it felt too overwhelming at the time. however it’s been a year since then and I still don’t have a living baby. I had my son 18 years ago, and kept trying to be hopeful that’s I’d be able to have another one. But after watching this I think I may have to query the septate being removed. 🙏🏼🙏🏼 thank you xxx
I am so glad and emotional i found this video. I recently went through an Ectopic pregnancy. Up to this date im not clear wether was ectopic or miscarrage since i bleed for so many days( heavy bleeding). at the hospital they diagnosed me with Ectopic pregnancy. Soon after getting a Laparoscopy done i was told i have a Uterine Septum, now waiting for surgery.
Waiting to see the light at the end of the tunnel.
I've been diagnosed with pcos in august of this year after starting my ttc journey. As if that wasn't enough, I've also been told I have a septate uterus and synechias. This has been a rollercoaster and it's just been hard grieving the idea that I won't be able to conceive naturally or might potentially suffer miscarriages due to a birth "defect".
This video has been incredibly informative! My doctor is still investigating whether my septum is significant enough to have it resectioned. one 3D scan showed to be around 2cm about 6months ago, but more recently it's shown as 1cm on an internal ultrasound. It's likely I will need another 3D scan or MRI to establish the size. But in preparation for a potential septum resection, she had mentioned that she would use a copper coil to stop it from re-fusing for 2-3 months while it heals. She didn't mention anything about a balloon to keep the space. Do I really need the copper coil? Should I be asking for an alternative option? Have I potentially misunderstood something? We haven't finalised that I need the procedure yet so it was just a discussion on a potential resolution. Thank you!
This is really helpful as it’s something I’m investigating too. I’ve had all missed miscarriages and it took weeks for the bleeding to start naturally, so it appears the embryos were pretty tenaciously attached though they had stopped growing. Can this be a compatible situation with a septum?
This has been excellent! I tried to convince for 10 months, had my first positive pregnancy test and ultrasound at 8 weeks (currently almost 14) where I found out once I read my formal ultrasound report that I have a uterine septal defect! Definitely looking into repair options post baby since we are wanting a second or third.
Hi how did your pregnancy go? My husband and I are trying and I found this out just because I got an ultrasound for severe period pain, but we want to conceive and I would love to hear positive stories with people who have a bicornuate uterus!
Thanks so very much for the information,I have a septum in my uterus which will be removed next month
Somewhat unrelated question- you talk about scar tissue... I've been suspecting I have Asherman's after my 19 week D&C (first/only D&C) in February. Period went from 7 days (heavy, gradually decreasing) to three day of normal bleeding, followed be a week of spotting, with random gushes mainly only when my uterus contracts or I have a coughing fit (currently dealing with post-flu cough). My doctor won't check for it, citing it is really rare, thinking it's hormonal - also saying she's never seen a single case in her 16 years experience. My question is: How common is scar tissue/Asherman's? I've been trying to advocate for myself as my doctor keeps pushing it off...but struggling to find concrete fact-based literature on the subject. Concerned I'm self-diagnosing myself based on fear and Dr. Google.
Interesting! What about uterine calcification? How does calcification impact fertility/miscarriage?
This is so interesting. I have had recurring chemical losses and I was born with a duplex kidney, so I wonder if this could be my issue. I will mention it when I see the doctor!
Did you get this sorted?
@@jessicaharrison4099 No, i'm planning to go ahead with additional testing if the next few cycles don't work.
@hannahr6210 i just had my partial septum corrected after never getting past chemical stage. I shall keep you updated.
I had a follicle scan the day I was ovulating. I was wondering if the lubrication that that they use for the transvaginal ultrasound if it kills sperm? Thank you so much for any help.
What about : Do septum’s contribute to lack of pregnancy? Can it stop pregnancy?
i've had a MC in 2010, fell pregnant again in 2014 and my MA was picked up at 5w early scan. Carried to 39w and she was full breach. initially told it UD. then in 2016 fell pregnant twice in each uterus with 5days gestational difference. lost one in left horn but carried to 38w. I struggle to concieve. I ovulate on different days for each side it can be 5days difference every 2-3 months. it can be infuriating! I have only had success with duel hormone ovulation tests taken across an entire year. I was in my mid to late twenties when I concieved my two kids. ttc again at almost 37 so hoping for success in the next couple years despite knowing it is going to be much harder this time.
I have had 4 miscarriages and my doctor did not want to help me they were very unprofessional
Hello 😊 thank you for the video This is a little-known problem
My OBS removed my cervical septum Is it problematic if I get pregnant?
What's about partial septum 1.2cm? I have a 1 successful full term pregnancy and 2 1st trimester miscarriages...
I had two positive dye tests from two different packs in the same day, but a negative digital. Can I still be pregnant?
Can even a smll septum cause effect on infertility. I have had 3 transfers resulying in 3 chemicals. My FS found a 2cm septum duting hysteroscopy and laparoscopy but didnt remove it as he believes it wouldnt be causing any concern.
I have a didelphys uterus and i have 2 miscarriage and i want to treat this because i want to get pregnant. My question is after removing the septum How many percent to get pregnant normally.
My question is irrelevant to today's topic,my apologies for that.. I was 7days post ovulation yesterday (28th) I really had the right since of what my be implantation. The crap on my left sided type my back in pain and my Brest very heavily and painful from day 6 after ovulation. Sadly my period stated tester day though it may be implantation bleeding but no I really bled full like normal periods till now it's clear I am not pregnant.. My question is what is the course of this becomes my period was only due in the next 5 days.. Is this miscarriage? Or implantation gone wrong? I'm so hurt right now because I was very happy that I may be finally pregnant as I've been trying for 9months now from my last miscarriage.. please advise..
I have been to a waterscan, 3D ultrasound and they couldnt see the septum. But when I had a hysteroskopi they saw it. I had a miscarriage and it didnt go well so when i had that surgery they saw the septum. Even after they saw the septum on hysteroskopi they couldnt find the septum on 3D or waterscan. I went to 3 different places. Do you know why? I have a complete septum, gonna have it removed in a few months.
Did u removed complete septum through hysteroscopy pls tell me in also facing septate uterus complete septum, I'm fearing to go for hysteroscopy,pls help is it must to get baby
My 16 year old has vaginal cervix and uterine sept.doinle of all reproductive organs and vagina. Her Dr. Has t been helpful she has had pain for years and can't get anywhere because NOONE seems to want to deal with . I am so worried. Any suggestions
Just to clarify... an HSG can not alone diagnosis a septum from a bicornuate
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Would it be silly to remove a septum in your mid 40’s?
Thank you so much, I was diagnosed with this and no one has taken time to walk me through it. This means a lot to me!
I'm so glad!
@@NatalieCrawfordMD hello! Thank you so much for this video.
37, almost 38. I had a uterine septum resection in August. Extended to my cervix apparently but most not even seen in saline ultrasound. Fertility doctor said he was only able to resect 70% before surgery had to be stopped due to fluid safety limit.
He didn’t use anything to prevent scarrring. When I asked why in f/u he said I already produce sufficient estrogen and balloons and other devices introduce infection risk. Fertility MD said to try and come back if no luck.
Last 2 cycles we’ve tried our luck with conception. I KNOW my body is trying. Have felt pregnant but period always comes. Concerned that there may be scarring or not enough of the septum was resected. Concerned I may need another resection procedure, but since he doesn’t seem all that concerned with scarring, I’m nervous about moving forward.
Do you have any suggestions about what I should do next and when? Is there a way to confirm whether scar tissue is present?