Miscarriage, Uterine Septum and Conceiving again... What you need to know

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Miscarriage, Uterine Septum and Conceiving again... What you need to know

  • I just got to know that i have a septate uterus- but what is it?

A uterine septum is a (thick or thin) band extending from the top to the bottom of the uterus, which divides it into two parts. 

A 'typical' uterus is a hollow cavity which is shaped like an inflated balloon. However, if you have a septate uterus, your uterus has two smaller cavities (instead of one)- separated by the septum- which acts as a partition.


  • Prevention 

A septum is something you were born with- though it is not genetic. It is also not known what causes it to occur. There is thus, no way a septum can be prevented.

  • OK, but what are my Health risks?

Having a uterine septum isn't necessarily that bad. In fact, if a woman does not wish to have children, there is no need to have the condition treated. On its own, it does not have any long-term health complications.

Though it does not typically affect a woman’s fertility (the ability to conceive), it does significantly increase their risk of an abortion. Women with septate uteri can also go on to have recurrent miscarriages. In fact, it is most commonly diagnosed after an investigation into the cause of frequent miscarriages. But don't worry, since the septum can be treated with surgery which has shown to significantly improve outcomes.

A septum also increases the risk for:

  • Preterm birth.
  • Low birth weight.
  • Baby being breech or transverse (and thus a caesarean delivery).
A septum can rarely cause painful menses.

  • Are you sure it is not something else?

It is possible for a septate uterus to be misdiagnosed as a 'bicornuate uterus'. A bicornuate uterus is one that is heart shaped. In this condition, the top portion of the uterus, or fundus, dips in towards the midline of the uterus. 

  • What tests will my doctor order?

In order to confirm the presence of the condition, your doctor may ask for a hysterosalpingogram or a hysteroscopy. 
A hysterosalpingogram is a type of an X-Ray that highlights the inner uterus (thus making the septum prominent) and the fallopian tubes.
During a hysteroscopy, your doctor will insert an instrument with a light and a tiny camera at the end, into the vagina, which gives a clear view of the inside of the uterus. 

  • Can't it go away on it's own or maybe with pills?

A septate uterus can only be treated with a surgery. The procedure (called a metroplasty) is carried out with a hysteroscopy.  During a hysteroscopic metroplasty, a small scissors is also inserted to cut away and remove the septum.

Thus, the hysteroscopic procedure allows for treatment to be done within the uterus without the need for cutting open the abdomen.

The results of this surgery are excellent, with over 40% reduction in the rate of miscarriages and 20% increase in the conception rates.

  • Can a septate uterus grow back?

No, a septate uterus can't grow back. Once it has been removed surgically, your body cannot regenerate a uterine septum.


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