Will having a septate uterus impact your ability to get pregnant? Here's the inside scoop. 

November 29, 2018
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A septate uterus is a congenital condition in which a thin membrane called a septum divides the uterus, either partially or completely. While the condition does not affect a woman's ability to conceive, it can impact a pregnancy's outcome.

"We see a higher risk of first- and second-trimester pregnancy loss with septate uterus," says Beth W. Rackow, M.D., an assistant professor of OB-GYN at Yale University School of Medicine in New Haven, Conn. "There is also an increased risk of preterm labor."

Luckily, a septate uterus can be treated before pregnancy with a minor procedure called a hysteroscopy. "This involves inserting surgical instruments through the cervix and removing the septum without having to make an abdominal incision," Rackow explains. It's usually done on an outpatient basis.

Septate uterus is the most common congenital uterine malformation, affecting 1 percent of all women. Because there are varying degrees of severity, "Not everyone needs to be treated," Rackow says. "If you do, it's comforting to know that this is the only congenital uterine anomaly that can be fixed with a minimally invasive procedure, thereby improving reproductive outcomes."

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