The presence of a septate uterus in a woman of reproductive age can lead to recurrent pregnancy losses. It occurs when there is a fibrous band running down the middle of the uterus. These fibrous bands do not allow a developing fetus to grow properly if it implants on it. These fibrous bands can be removed hysteroscopically.
It is usually indicated for:
- Women of childbearing age with recurrent miscarriage.
- Women of childbearing age with preterm labour and delivery.
- Women undergoing fertility treatment
WHAT TO EXPECT
A hysteroscope will be inserted through the vagina and into the uterus and attached to a monitor to look at the lining of the uterus. Fluid [Normal saline] will be used to distend the cavity of the uterus so the walls can be visualized.
The Resectoscope, hysteroscopic scissors or vaporizing electrode can be used for this procedure. The septum is transected until the endometrial layer is reached. Estrogen and progesterone are given after the procedure to improve endometrial regeneration and antibiotic given for pain.
HOW TO PREPARE FOR PROCEDURE
Your doctor will counsel you before the procedure and you will need to give informed consent before the procedure. He would counsel you on the procedure and risks involved. The night before the procedure you will be told not to take any meals from midnight. The anaesthetist would review you and ask questions to assess your risk for anaesthesia. On the morning of the procedure, you can take a shower before you are wheeled into the theatre.
Usually, the procedure lasts 15 – 25 minutes and then you will be discharged once you have fully recovered from the effect of anaesthesia.
