Uterine Septum and Fertility: What to Know
A uterine septum is a congenital structure that partly or fully divides the uterine cavity. In some women it can affect the course of pregnancy.
For other uterine conditions, you can also read our adenomyosis article. Below is an informational overview of the uterine septum.
What is a uterine septum?
When tissue in the midline does not fully regress during uterine development, a wall can form that divides the cavity. This wall can be of different lengths.
It usually causes no symptoms and is found during tests.
Effect on fertility and pregnancy
A uterine septum can be associated with recurrent pregnancy loss or difficulty with implantation in some women. Still, many women have uncomplicated pregnancies.
For causes of repeated failure, read our article on why IVF fails.
How is it diagnosed?
Diagnosis can use ultrasound (especially 3D), imaging of the uterus and, when needed, hysteroscopy. Your doctor evaluates the findings as a whole.
Accurate diagnosis separates it from other uterine anomalies that can look similar.
Treatment options
The approach is individual. Steps are decided by your doctor:
- Hysteroscopic assessment when needed
- Preparing the uterine environment for pregnancy
- Suitable follow-up and planning
When is assessment needed?
A uterine septum may be investigated in women with recurrent pregnancy loss or unexplained difficulty with implantation. The decision is individual.
Early, accurate assessment makes planning easier.
Related Reading
- Recurrent Miscarriage and Implantation Failure: Causes and What Can Help
- Adenomyosis and Fertility: Diagnosis and Options
- Why Does IVF Fail? Common Reasons and What to Do Next
Sources and references
This article is supported by the following independent, authoritative sources: