Uterine septum: Difference between revisions
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{{SI}} | |||
{{Infobox medical condition | |||
| name = Uterine septum | |||
| image = [[File:Uterine_malformation.jpg|250px]] | |||
| caption = Diagram of a uterine septum | |||
| field = [[Gynecology]] | |||
| synonyms = Septate uterus | |||
| symptoms = [[Infertility]], [[recurrent miscarriage]], [[abnormal uterine bleeding]] | |||
| complications = [[Pregnancy complications]], [[preterm birth]] | |||
| onset = Congenital | |||
| duration = Lifelong unless surgically corrected | |||
| causes = [[Müllerian duct anomaly]] | |||
| risks = [[Family history]], [[genetic factors]] | |||
| diagnosis = [[Ultrasound]], [[MRI]], [[Hysteroscopy]] | |||
| differential = [[Bicornuate uterus]], [[Arcuate uterus]] | |||
| prevention = None | |||
| treatment = [[Surgical resection]] (hysteroscopic septum resection) | |||
| medication = None specific | |||
| prognosis = Good with treatment | |||
| frequency = 1-2% of women | |||
}} | |||
{{Short description|A congenital disorder of the uterus}} | {{Short description|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. | 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== | ==Anatomy and Classification== | ||
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. | 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== | ==Causes== | ||
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. | 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== | ==Symptoms== | ||
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. | 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== | ==Diagnosis== | ||
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. | 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== | ==Treatment== | ||
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. | 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== | ==Prognosis== | ||
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. | 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. | ||
==See also== | |||
== | |||
* [[Uterine malformation]] | * [[Uterine malformation]] | ||
* [[Mullerian duct anomalies]] | * [[Mullerian duct anomalies]] | ||
Latest revision as of 07:48, 6 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Uterine septum | |
|---|---|
| |
| Synonyms | Septate uterus |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Infertility, recurrent miscarriage, abnormal uterine bleeding |
| Complications | Pregnancy complications, preterm birth |
| Onset | Congenital |
| Duration | Lifelong unless surgically corrected |
| Types | N/A |
| Causes | Müllerian duct anomaly |
| Risks | Family history, genetic factors |
| Diagnosis | Ultrasound, MRI, Hysteroscopy |
| Differential diagnosis | Bicornuate uterus, Arcuate uterus |
| Prevention | None |
| Treatment | Surgical resection (hysteroscopic septum resection) |
| Medication | None specific |
| Prognosis | Good with treatment |
| Frequency | 1-2% of women |
| Deaths | N/A |
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]
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]
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]
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]
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]
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]
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.
