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Abnormalities of the uterus and treatment – Part 2

This is a continuation of the previous article on the same subject (Abnormalities of the uterus and treatment – Part 1)

Uterine abnormalities (contd.)

• Septate uterus: The uterus when divided with a fibrous wall of muscles, also known as septum, leads to such an abnormality. 1 in 45 women tend to have this abnormality of uterus. The septum might extend only partially to the uterus in some cases whereas it may reach to the end of cervix in others. The former is called partial septate uterus and the latter as complete septate uterus. The former are more common than the latter. Conceiving can be an issue in this type of uterus and the risk of miscarriage is also high.

Diagnosis of an abnormal uterus:
When there are issues of fertility, and late in conceiving, then the doctor shall refer you to a specialist to check with uterus abnormalities or other issues with uterus and fallopian tubes.

The following tests and exams shall be done:
• A 3D ultrasound scan: An ultrasound reveals the interior of uterus and shall easily recognize any uterine abnormality and other related issues.
• A MRI-magnetic resonance imaging: This is used to find out any uterine abnormalities. This imaging scans the body interior by employing a strong magnetic field along with radio waves. It produces an image in detail of the interior of the body. This scan is generally carried out when you are not pregnant.
• Dye based X-ray: A unique X-ray employing a dye is carried out. This is also called a hysterosalpingography. In this process a liquid comprising of the dye is made to flow in the uterus and fallopian tubes with the aid of a catheter or a tube. This provides an insight on the working of your fallopian tubes and the uterus.
• Laproscopy: This is a minor operation done to take an inner look of fallopian tubes and uterus. A small incision is made in the belly button through which a tube is passed inside that consists of an endoscope (a viewing instrument). Using this endoscope, entire interior of the fallopian tube and uterus is examined for any abnormality or other issues associated with the uterus.

Treatment of the uterine abnormalities:
All the types of uterine abnormalities may not need a treatment. But if pain or infertility or miscarriage is associated then the doctor shall advice the abnormality to be repaired surgically. Though some are treatable, but there can be risks associated with the treatment or its procedure in later stages.
In case of a unicornuate uterus, the obstruction can be eradicated or semi uterus portion can be removed provided the other end of the uterus is functional and perfectly alright.
Cervical cerclage which involves stitching up of cervical portion to avoid premature delivery or dilation can be done. This stitch can later be removed or a C-section can be performed in order to deliver the baby.
A Septate uterus wherein there is a separation of a uterus with a septum can be treated by eradicating the septum. But during the surgery wherein the uterus has to be cut open, involves a high risk of damaging uterus lining in some way. This can later lead to fertility issues. The fertility might be minimized. There is a way out of this by placing a unique instrument called a hysteroscope to eradicate septum. This instrument is actually a thin telescopic like equipment which is positioned into the uterus to eradicate septum rather than cutting open the uterus. This instrument is passed through the vagina and cervix into the uterus. Compared to the open surgery, this device can minimize the damage done to the uterus on a big level. It is seen that rate of pregnancy has increased and infertility is reduced majorly.

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