As we mentioned in previous article, conventional medicine plays an important role in treating all kinds of disease and most of the time is the first treatment for a couple who for what ever reason cam not conceive after 1 year of unprotected sexual intercourse or can not carry the pregnancy to full term. With the advance of medical technology, Some infertility are caused by structure problem and can be corrected through surgery. In this article, we will discuss how conventional medicine helps to treat congenital uterine abnormalities.
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Congenital uterine abnormalities is a result of abnormal uterus and tube which are developed in the embryo stage.
II. Types of treatments
1. Septate uterus
a) In the septate uterus, there is a wall, septum membrane dividing the top of the uterus. Since the uterus is divided, it has little room for the fetus to develop and grow, leading to miscarriage or premature birth. The odd of miscarriage is about 25%.
Most cases of sepatate uterus can be detected by hysteroscopy. In this procedure, a hysperoscopy which is thin instrument called a hysteroscope is passed through your vagina and cervix and into your uterus, so your doctor can have a clean view of your uterus.
Metroplasty is type of surgery normally used to correct a septate uterus. Through laparoscopic surgery, the septum that divides the uterus is removed, thereby reshaping the uterus to it's normal appearance, and allowing extra room for the fetus to growing.
2. Unicornuate uterus
a) Unicornuate uterus is a condition of which the uterus is one side and smaller than usual. It possible for women with unicornuate uterus to get pregnant and giving birth to a healthy baby. Most cases of unicornuate uterus are never diagnosed and only 1 in 500 women are born with this kind of abnormality.
If unicornuate uterus is suspected, your doctor may order hysterosalpingogram (HSG) or ultresound, the images produced will help to your doctor determine the severity of your abnormal uterine structure.
Laparoscopy is the most common surgery used to remove of the rudimentary uterine horn
3. Bicornuate uterus
a) Bicornuate uterus is a condition of which a woman is born with 2 separate uterine cavity, each of them is connected to fallopian separately.
Since women with bicornuate uterus still can get pregnant and give birth to a premature baby, many of them can bypass the lapraoscopis surgery. If the problem is serious then your doctor may suggest metroplasty which is one form of surgery helped to join the two uterine halves.
It is the same as in 2 a)
c) Depending to the severity of the problem, if necessary, your doctor may recommend reconstructive laparoscopic surgery as we mention above. Other wise, it will be left alone but you may have to work closely with during each stage of pregnancy.
4. Didelphic uterus
a) An abnormal formation of the uterus during the embryo stage resulting in 2 cervix with 2 smaller uterus and sometime 2 vagina on top of the vagina canal. A woman with didelphic uterus may not need surgery because she can still get pregnant and give birth to a premature baby, it is advised that she should work closely with her doctor during pregnancy to watch for signs of pre-term labour or other risks to the baby.
Same as 2 a), but sometimes MRI may be ordered by your doctor, if necessary.
In most cases, a woman with didephic uterus do not required surgery, but it is suggested that she must work closely with her doctor for any sign or risk of pre-term labor.
III. Surgical risk is involved, if surgery is required.
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