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Curtain in the Womb (Uterine Septum)

In women who know they are pregnant, the miscarriage rate in the general population is about 10 to 20 percent. The miscarriage rate in women with septate uteri is thought to be between 20 and 25 percent. Some studies show that this may be as high as possible (40%). Having a curtain in the uterus is the most common uterine anomaly. Women with a septate uterus are at risk of both miscarriage and recurrent miscarriage. Pregnancies that occur inside an abnormally developing uterus increase the risk for:

  • premature birth
  • reverse baby (breech birth)
  • cesarean section rates increase
  • bleeding complications after childbirth

How to detect veil in the uterus?

The uterine veil has no symptoms other than a miscarriage or recurrent miscarriage. It is usually only diagnosed after an investigation into the cause of the miscarriage. Occasionally, if the septum extends beyond the cervix to include the cervix and vagina, it can be recognized during a routine pelvic exam. In general, it does not cause a complaint such as menstrual irregularity or pain.

Reasons

A septate uterus is a congenital genetic abnormality. It is not known why it causes it to appear. It happens while in the womb during embryo development.

How is it diagnosed?

Diagnosis can be made on standard pelvic ultrasound. However, 3D ultrasound or MR, that is, magnetic resonance imaging; It is a more accurate way to describe the problems of the uterus. After the pelvic exam is done, your doctor will likely start investigating with one of these tests. They may use a hysterosalpingogram or hysteroscopy to confirm the diagnosis. (Click for detailed information about hysteroscopy.)

Treatment

A septate uterus can be treated with a surgery called metroplasty. The procedure is performed by hysteroscopy. The hysteroscopic procedure allows treatment within the uterus without the need for an external abdominal incision. During hysteroscopic metroplasty, a lighted instrument is inserted into the vagina, through the cervix, and into the uterus. Another instrument is also inserted to cut and remove the septum. This technique is minimally invasive and usually takes about an hour. Women who choose to have hysteroscopic metroplasty usually return home the same day as the procedure. After surgery, 50-80% of women with a history of recurrent miscarriage will go on to have a healthy pregnancy in the future. Up to 20% of women who cannot conceive can become pregnant after surgery.

*If a woman does not want to have children, this condition does not need to be treated. By itself, it does not pose a health risk. However, if a woman with a septate uterus wants to have children, she may choose to have surgery. The surgery will significantly increase the chances of a successful pregnancy.

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