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Conception

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Does anyone have a septate uterus?

14 replies

oinker · 13/05/2006 10:12

Not sure if this is the best place to ask.

I have had 6 m/c and no viable pregnancies.
I have had all sorts of tests (bloods) etc and no problems indicated other the anticoagulant blood.
I had a ERPC today and they tell me that I have a heart shaped uterus (septate).

Could this be the cause of all m/c?

Has anyone had this and had a corrective surgery then gone on to conceive?

OP posts:
mawbroon · 13/05/2006 10:34

Hi Oinker

Not much help to you, but I didn't want to ignore your post. I have a heart shaped uterus and conceived naturally. It was discoverd during my c section for DS who was breech because his head was stuck in one of the lobes of the heart shape. I was told mine was bi-cornuate and I'm not too sure if that is the same as septate or not.

I hope who has had a similar experience to you comes along soon.

MBSmile

nutcracker · 13/05/2006 10:35

I have a bicornuate uterus which i think is similar, not entirly sure, but mine is also heart shaped.

I got pregnant quite easily and my first pregnancy was twins but I lost one of the twins at 9 weeks as one half of my uterus is alot smaller than the other and they think this was the problem.

Other than that my pregnancy was fine. I had a section as dd was breech and had no room to turn around.

Have also had two further pregnancies. Dd2's pregnancy was without complications until 34 weeks when i went into pre term labour, which I was told could happen. She was absolutly fine though.

Ds's pregnancy was a troublesome one but had nothing to do with the shape of my womb.

Hope that helps.

lanismum · 13/05/2006 11:33

im reading this thread with interest as my cousin has a bicornuate uterus, hers is heart shaped, and she has a membrane down the middle seperating her uterus, she has lost 2 babies, and has had numerous blood tests, 2 mri scans, they have also looked at her uterus with a camera to check how thick the membrane is, she has been told that if she gets pregnant again she would probably lose the baby at around 8 weeks, or go into early labour at around 20 weeks ( i think it depends on which side of her uterus the baby implants in) i think the plan for her is a small operation to see if they can cut the membrane away, leaving her with a bigger uterus, but the last mri was thursday so she will know more when the results come back.

oinker · 14/05/2006 09:36

Thanks for all your replies...Smile

I hoped that mine would be bicornuate but they suspect it's septate. Which unfortunatley for me is rarer. I have read up on it and it seems as though they can operate too. Lesley Regan mentioned it in her book. I have an appointment at her clinic on 6th June so hopefully I will find out what can be done soon.

Lanismum... Has your cousin had any viable pregnancies? Has she gone private to get all the tests done?
Let me know how she gets on.

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lanismum · 14/05/2006 14:36

oinker, my cousin hasnt had any viable pregancies, like i said she is waiting on results from her latest mri, i think depending on the results they may operate, she hasnt had any private treatment yet, ill keep this thread in my watch list and ill post when she gets her results. Smile

kael · 14/05/2006 14:46

I’m so sorry to hear of your mcs! A uterine septum can cause m/c. It is thought that if the embryo implants on the septum it won’t be able to survive as there is not sufficient blood supply (this is different in a bicornuate uterus). As I understand it, it is relatively easy to resect a septum (but it does require a general anaesthetic). I have heard that Lesley Reagin (not from her personally, so not sure how true this is) is very reluctant to resect septa. At UCLH they look more favourably on the procedure. I hope you’ll get some answers soon!

kael · 14/05/2006 14:50

PS you might want to have a look at this board:

health.groups.yahoo.com/group/MullerianAnomalies/

Most of the members are American, and Mullerian Anomalies are treated differently there (more likely to have septa resected), keep this in mind when you read the posts.

oinker · 15/05/2006 15:22

THANKS FOR ALL THE INFO.Smile

Kael,
I have looked at the relevant sites and feel hopeful that there will be some sort of resolution for me.
I got a bit worried about what you say Lesley Regans opinion is on surgery. I have her book and from what I have understood the op to rectify a septate uterus has been around for years and she herself has carried out the op successfully. She seems a bit more concerned and against the op for bicornuate uterus's.
If anyone is concerned and you have her (1st edition) book it is explained in chapter 8.

Thanks again.... All of this is really helping me. Smile

OP posts:
kael · 15/05/2006 23:13

Oinker,
I’m sorry if I worried you – as I said, I’m not sure how true this is, if have never met her. I have heard from two different sources that she is reluctant to perform the operation, because she does not think that mullerian anomalies are always the cause of problems. However, I’m sure that does not mean that she never operates. I would assume that with 6 mc but no other possible causes found you are a prime candidate for resection? IF you do find that you want a second opinion, try to get a referral to UCLH. You probably have read some of the numerous studies out there which show that in the case of recurrent mc, septum resection greatly increases the chances of a viable pregnancy. If you go to this website www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed you can access abstracts of medical articles (and sometimes the full text) My heart goes out to you and I really hope that you have good meeting! Keep us updated.

oinker · 16/05/2006 10:15

Kael......

Thanks for all of this.
Don't feel bad. You didn't worry me. Smile You just made me sit down and read.Shock

Thanks again. You have been a real help. Smile

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kael · 12/06/2006 09:57

Hi oinker,

I just remembered this and wondered if you've already had your appointment. How did it go?

Naba · 15/09/2006 11:05

I have a bicornuate uterus and had part septum resection on Monday at the RMC clinic at St Mary's Hospital. I have had 7 miscarriages all before 12 weeks and also have polycystic ovaries and had an ovarian diathermy. Has anyone had their septum resected then gone on to carry a baby full term?

oinker · 20/09/2006 11:59

Naba..

I am so sorry to hear of your losses.

I am due to have the op too at the RMC at St Marys... What op did you have was it laparospic or hysteroscopy?

Who is your doc? I have been seeing Mr Raj RAI.

I was sent away 5 weeks ago and told to loose some weight at least 2 stone. I have lost a stone already. Will be going back on 17th Oct.

I have a septate uterus, fibroids and uterine scarring. I have had 6 m/c. No viable pregnancies.
I have no answers to whether the op works. I have checked out sites and noted that women do conceive after this type of op.
How long are you supposed to wait b 4 you try? This is something I forgot to ask.

Maybe you could start another thread asking for any others who have had the op.

I really hope this all works out for you.

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oinker · 22/09/2006 09:47

Naba,

wher have you dissappeared to?

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