Are you expecting a baby? Or are you suffering from repeated miscarriages and are you feeling a lot of pain and anxiety? Sometimes the reason for this may be something you have never heard of or seen. Today we are talking about such a condition, which is seen in many women, but not many people know about, a condition called " Septate Uterus ".
Simply put, what is a Septate Uterus?
A Septate Uterus is a condition in which a membrane-like wall (called a septum) is located in the middle of a woman's womb, dividing the uterus completely or partially into two parts.
Imagine, this is a congenital condition. That is, when a female child grows in the mother's womb, a small change occurs during the formation of the uterus. Normally, when the uterus is formed, two parts first join together to form a single uterus. The wall where this joins together dissolves over time. But sometimes, if this wall does not dissolve properly, it remains inside the uterus. That is what we call Septate Uterus. In fact, this is the most common condition among the birth defects seen in the uterus.
The important thing is, this condition is not visible from the outside. It looks just like a normal uterus. The difference is inside.
What are the possible effects of this situation?
Most women with this condition have no problem conceiving a child. However, the risk of certain complications during pregnancy is slightly higher.
The main problem is the high incidence of miscarriages . This is because this septum, where the uterus is divided, does not have as good a blood supply as the normal uterine wall. So, if the embryo implants on this wall, it may not get the nutrients and oxygen it needs to grow, and the pregnancy may be lost midway.
In addition,
- Preterm birth.
- The baby is positioned crosswise or breech in the womb (fetal malpresentation ).
- Impaired growth of the child.
There is also a risk of developing conditions such as. But remember, not everyone with this condition will have these problems. There are many women who have given birth to healthy babies without any problems.
Are there any main types of this?
Yes, this wall can be divided into several main types depending on how far it extends into the uterus .
| Type | A simple explanation |
|---|---|
| Partial Septate Uterus (Incomplete wall) | In this case, the wall extends only a short distance from the top of the uterus and does not extend all the way to the cervix. |
| Complete Septate Uterus (entire wall) | In this, the wall extends from the top of the uterus all the way down to the cervix, almost completely dividing the uterus into two parts. |
| Septate Uterus and Vagina (Wall of the uterus and vagina) | This is a bit rare. Here, the wall of the uterus extends all the way into the vagina. |
What are the symptoms? How do you diagnose this?
The amazing thing about this is that it often doesn't show any symptoms. A girl may not even know she has this condition until she reaches puberty, gets married, and is thinking about having a child. Some women may experience more pain than usual during their periods.
However, many people only learn about this after repeated miscarriages occur, and through tests conducted to find the causes.
How does a doctor find this?
Because this wall is so thin, it is difficult to see with a normal examination. Therefore, doctors use various imaging methods to confirm this.
- Ultrasound Scan: A 3D ultrasound scan is more important than a 2D scan for this, as it provides a very clear, three-dimensional image of the inside of the uterus.
- MRI Scan: Sometimes this condition can be confused with another condition called Bicornuate Uterus , where the uterus is divided into two horns. An MRI (Magnetic Resonance Imaging) scan is very helpful in distinguishing and identifying these two.
- Hysteroscopy : In this procedure, a thin tube with a camera attached is passed through the vagina into the uterus to view the inside of the uterus. This procedure is used for both diagnosis and treatment.
What are the treatments for this?
If you are having recurrent miscarriages due to this condition, your doctor may refer you for treatment. The best and most effective treatment for this is hysteroscopic surgery.
This is not a major surgery to be afraid of. Most of the time, it is considered a minor surgery.
- How is it done? The doctor inserts a device called a hysteroscope (a tube with a camera) through the vagina into the uterus and cuts or scrapes away the septum. During this procedure, a scan is also performed to check if the septum has been completely removed.
- Time: This is usually an outpatient surgery. This means you can go home the same day in the evening. However, if there are any complications, you may be kept in the hospital for observation for a day.
- After the surgery: You may experience some pain and bleeding for a day or two after the surgery, similar to your period. This is normal. However, using tampons after the surgery can increase the risk of infection. Therefore, it is best to use sanitary napkins.
If you are bleeding heavily, have unbearable pain, have a fever, or have any other concerns, notify your doctor immediately.
After this surgery, the uterus returns to its normal state. Therefore, the chances of conceiving a child and carrying a healthy pregnancy to term are greatly increased.
Take-Home Message
- Septate Uterus is a common, congenital condition of the uterus. It is nothing to be afraid of.
- This condition can lead to repeated miscarriages, but it doesn't happen to everyone.
- If you are also experiencing repeated miscarriages, suspect this and talk to your gynecologist.
- This condition can be easily diagnosed with tests such as 3D Ultrasound or MRI.
- A simple surgery called hysteroscopy can remove this wall and greatly increase the chances of having a healthy baby.
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