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uterine septum?


Forum: Recurrent Miscarriage and Pregnancy Loss

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  #1  
July 10th, 2006, 06:47 PM
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I know a few ladies here have had this condition. How is it diagnosed? Are there any symptoms? I haven't had a doctor mention this possibility at all to me yet, and I was wondering if it is not very common or if I was just getting bad medical care (wouldn't be the first time with all this).
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Sara
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  #2  
July 10th, 2006, 09:23 PM
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Hi Sara,
I had a uterine septum. It is not something that has symptoms other than to cause recurrent m/c's. It's a genetic abnormality which occurs when you are in utero and as a female your uterus is developing. Basically your uterus starts out in two halfs and fuse together. When you have a septum, the tissue that comes together does not disole like it is suppose to and creates a mass of tissue right down the center dividing the uterus. This tissue has very little blood flow. When you become pg and if the egg attaches itself anywhere near the septum, it will not be able to sustain life.
I saw anan RE on a fluke after my 2nd m/c. i was actually seeing the RE with my DH who was getting a sperm analysis and the RE said he wanted to "take a look" at me! So I was like uh ok...right there on a u/s he said he thought he saw a septum. he had me come back in a few days later to have an HSG done. This is where dye and or saline is placed inside to see the cavity more clearly. this is how he confirmed his diagnosis.
I had 2 d and c's prior to seeing him and I asked him why my OB's hadn't seen the septum then. he stated that it's tricky to see on a u/s and it's something he just seems to have an eye for. I went and saw my regular OB before surgery and told her what he dx'd me with. She asked if she could do a u/s and see if she could see it herself. i let her and she stated that had I not told her she doesn't think she or any other OB would have seen it on a plain ol' u/s...she knows this RE and told me he was the best in the field and encouraged me to have the surgery only with him.
I have met other ladies with this condition and unfortunately they too only got dx'd after multiple m/c's ( like 3-6) through an HSG exam. If something is not found via blood work and you're having multiple m/c's i would advocate that you should request this test. it's not very pleasant but it's worth doing IMO.
If you hae any other questions feel free to ask.
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  #3  
July 11th, 2006, 06:52 PM
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Thanks. The nurse at my genetic testing appt said that she didn't think they would do any type of physical exam, and I'm not sure what in my history made her say that (maybe since it was only two mcs?). I think if nothing comes back on the bloodwork I will ask about an exam. I just think it's too important to me and DH to not at least get it checked out.
By the way... what does RE stand for again?
Thanks,
Sara
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  #4  
July 11th, 2006, 08:44 PM
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Quote:
Thanks. The nurse at my genetic testing appt said that she didn't think they would do any type of physical exam, and I'm not sure what in my history made her say that (maybe since it was only two mcs?). I think if nothing comes back on the bloodwork I will ask about an exam. I just think it's too important to me and DH to not at least get it checked out.
By the way... what does RE stand for again?
Thanks,
Sara[/b]
Reproductive endocringologist. A lot of OB's will call themselves "fertility specialists" but you really should see an RE for a thorough examination. They know what they're talking about...usually
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  #5  
July 12th, 2006, 12:45 PM
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I also had a septum but it wasn't discovered until my 6th m/c. I had the HSG and they didn't detect the septum that way. To my Dr. it just looked like I had a blocked tube, but the other one was fine so he didn't do anything about it. I really wish they would have found it that way because I had 4 more m/cs after the HSG. In August of last year I had a D&C to terminate the last pg (due to no signs of life) and he discovered not only the septum but also removed a cyst the size of a melon. I never knew I had the septum and was completely unaware of the effects on my body and reproductive system but now that I know how serious it is I would suggest to anyone having undetectable fertility issues to look into being tested. I can tell you that within 6 weeks of having the septum removed I became pregnant and now have a sweet little baby boy less than a year later. I hope people can learn from the problems and treatments I have had and be inspired by my eventual blessing.
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  #6  
July 12th, 2006, 01:13 PM
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Veagas mom- your story always breaks me heart. I am happy you have your miracle. i too hope women can avoid such heartache knowing all the possibilities out there.
Did your dr advise you to wait 6 wks before trying again after the septum was removed? Did he place you on meds? I'm currently on estrogen. I guess it's suppose to help the tissue heal properly.
A hysteroscopy is another way to diagnosis a septum if a HSG does not.
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  #7  
July 12th, 2006, 02:36 PM
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I also had a hysteroscopy/laparoscopy after the 2nd m/c and it wasn't detected. Of course at that point it wasn't really considered a "fertility problem". Since the septum was discovered "accidentally" my Dr. didn't really treat me for that because I had told him I didn't want to try anymore. We had completely given up on having babies so all he told me was to wait 6 weeks before we did anything and he would give me BC when I went in for an appt. The next appt I went in for ended up being another prenatal. As a side note, he was not able to remove the whole septum but he did remove the majority of it. When my baby was born and the placenta was delivered he examined it and found it HAD implanted right where the septum was and had implanted on each side of it. Then the placenta was shaped like a Mickey Mouse, one large part and then two little parts on the side. So for me I think it was a great that he found it because that is exactly where my babies land and implant.
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  #8  
July 12th, 2006, 07:04 PM
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Quote:
I also had a hysteroscopy/laparoscopy after the 2nd m/c and it wasn't detected. Of course at that point it wasn't really considered a "fertility problem". Since the septum was discovered "accidentally" my Dr. didn't really treat me for that because I had told him I didn't want to try anymore. We had completely given up on having babies so all he told me was to wait 6 weeks before we did anything and he would give me BC when I went in for an appt. The next appt I went in for ended up being another prenatal. As a side note, he was not able to remove the whole septum but he did remove the majority of it. When my baby was born and the placenta was delivered he examined it and found it HAD implanted right where the septum was and had implanted on each side of it. Then the placenta was shaped like a Mickey Mouse, one large part and then two little parts on the side. So for me I think it was a great that he found it because that is exactly where my babies land and implant.[/b]
Wow! I can not believe after all that interior look of your uterus it was only found accidentally! Adn during a d and c no doubt. I bet my babies are implanting where the septum was too...this last surgery he cut a bit more of it up so hopefully next time won't be a problem. Your story gives me hope...thanks again for your openness to share.
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  #9  
October 13th, 2008, 07:00 PM
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bump
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  #10  
October 14th, 2008, 03:23 PM
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Hi there!

Add me to the list of having a uterine septum. My was discovered after I was seen by an RE. I had 3 early m/c in a row and was looking for answers as to why. I was completely baffled by it because I had a completely normal pregnancy not that long before.

I told the RE that there was "NO WAY" I could have a septum because I had a d&c with my first pregancy and then I carried a near 10lb baby to term and it was never seen by the other doctors. The last three losses were all very early on and the RE attributed them to the septum.

We are just getting around to ttc again and I'm hoping that the cause of our m/c's is gone!
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  #11  
October 15th, 2008, 06:17 PM
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Quote:
Hi there!

Add me to the list of having a uterine septum. My was discovered after I was seen by an RE. I had 3 early m/c in a row and was looking for answers as to why. I was completely baffled by it because I had a completely normal pregnancy not that long before.

I told the RE that there was "NO WAY" I could have a septum because I had a d&c with my first pregancy and then I carried a near 10lb baby to term and it was never seen by the other doctors. The last three losses were all very early on and the RE attributed them to the septum.

We are just getting around to ttc again and I'm hoping that the cause of our m/c's is gone![/b]

hey Mindy, I was surprised to see this thread reincarnated I am sorry to hear of your losses, but thankful also to know you have a beautiful son despite the septum. May I ask did you have it removed?
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  #12  
October 20th, 2008, 07:15 AM
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Hey Norina!

Yes, I had the septum removed in March, 2007 by the RE. It was a hysterocopy/laproscopy. Recovery was not bad at all.

We were planning on going through with an IUI series or two but I decided against that. We are just NOW going to see if we can do it the old fashion way
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  #13  
October 21st, 2008, 06:56 PM
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Best of luck to you! I pray you get your baby soon!
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