Uterine septum
(Redirected from Septate uterus)
A congenital disorder of the uterus
A uterine septum is a congenital malformation of the uterus where a fibrous or muscular wall divides the uterine cavity. This condition can affect a woman's reproductive capabilities and is associated with an increased risk of miscarriage and infertility.
Anatomy and Classification[edit | edit source]
The uterine septum is classified based on the extent of the septum within the uterine cavity. It can be partial, where the septum does not reach the cervix, or complete, where the septum extends to the cervix, potentially dividing the cervix as well. The septum is composed of fibrous tissue, which is less vascular than the normal uterine tissue, leading to complications in pregnancy.
Causes[edit | edit source]
The condition arises during fetal development when the Mullerian ducts fail to fuse completely, resulting in a septum. The exact cause of this failure is not well understood, but it is considered a developmental anomaly.
Symptoms[edit | edit source]
Many women with a uterine septum are asymptomatic and may not be aware of the condition until they experience reproductive issues. Common symptoms include recurrent miscarriage, infertility, and sometimes dysmenorrhea or abnormal uterine bleeding.
Diagnosis[edit | edit source]
Diagnosis of a uterine septum is typically made through imaging studies. Ultrasound, particularly 3D ultrasound, is commonly used. Magnetic resonance imaging (MRI) and hysteroscopy are also effective diagnostic tools. Hysteroscopy allows direct visualization and potential treatment of the septum.
Treatment[edit | edit source]
The primary treatment for a uterine septum is surgical removal, known as a hysteroscopic metroplasty. This procedure involves the resection of the septum using a hysteroscope. The surgery is minimally invasive and has a high success rate in improving reproductive outcomes.
Prognosis[edit | edit source]
The prognosis after surgical treatment is generally good, with many women experiencing improved fertility and reduced miscarriage rates. However, the outcome can vary depending on the extent of the septum and other individual factors.
Related pages[edit | edit source]
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