I am getting ready for another surgery for a septum. I am really thinking of getting a second opinion. My doctor is a infertility specialist but didn't seem too confident about doing the surgery. He does 4 a year. I wished he was more positive.
My first surgery with him wasn't successful. I had major adhesions from my 2 previous d/c's that was preformed by another doctor. During the removal of my adhesions he puctured my uterus, so the removal of my septum wasn't done so that is why for a second surgery.
I feel like I can't find a doctor that I am comfortable with.
The septum does not have a normal blood supply. It is believed that if a fertilized egg implants on the outer wall of the uterus, it will do just fine. But if it implants on the septum, the placenta may not get enough blood, and this may result in miscarriage or premature labor and early delivery. Removing the septum does not affect anything other than enabling a fertilized egg to implant in a healthier spot.
The septum can easily be treated by an outpatient surgical procedure called hysteroscopic resection, in which a doctor cuts out the septum. The procedure is usually performed under general anesthesia, but an epidural anesthetic can be used. The doctor may choose to insert a catheter into the uterus to prevent the separate walls of the uterus from joining again with scar tissue. You may also be placed on hormones to speed healing. Success rates from this surgery is high, and most women require no postoperative pain medication.
If you are having problems holding onto pregnancies, this may be a good option for you!
If you are uncomfortable with your doctor, dont do it! Go to another doctor until you find one you ARE comfortable with.
Proven problems with a septum over 2 cm can include;
*Higher rates of Miscarriage ( loss before 20 weeks)
*Higher rates of Still birth ( loss after 20 weeks)
*Higher rates of pre-term birth.
* Higher numbers of babies with Low birth weight.
*Higher risks of Malposition of the fetus.
*Higher rates of breached birth.
* Higher rates of medically required C-sections.
* Infertility - this may be as adhesions limit the uterine muscular activity, thereby reducing the perfusion of sex steroids to the endometrium, with atrophy as a consequence.
* A septum of over 2cm may result in weakness during uterine enlargement in pregnancy. This can lead to the is rare complication of postoperative uterine rupture.
* Bad menstrual pain - cramping around a hard structure which isn't meant to be there can cause unnecessary pain. ( That last one is in a different study I can't find a link to just now)
So that's what the medical journals say, personally I had a very large septum which had to be removed over two operations, and it most certainly did require medication for pain management and due to heavy bleeding a total of two weeks bed rest. I'm an usual case. Every woman and every septum is different. Good luck to all who are considering an operation for this condition.
I have had 4 miscarriages altogether due to uterus septem and a son born at 31wks i have just got septum taken out which i have recovered well from and have had a mirena inserted for 3 months then hopefully can try again without any more problems wish you all the best of luck would love to hear more success stories hard to find them and will hopefully have my own one day!
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