1. Understanding Septate Uterus and Infertility

• A septate uterus is a congenital condition where a fibrous or muscular wall (septum) divides the uterine cavity into two parts. This can interfere with implantation of the embryo and increase the risk of miscarriage, making it a possible cause of infertility or recurrent pregnancy loss.

2. Role of Hysteroscopy in Treatment

• Hysteroscopy is a minimally invasive procedure where a thin, lighted instrument is inserted through the vagina and cervix to view and treat the inside of the uterus. It allows precise diagnosis and removal of the septum without abdominal incisions.

3. Benefits of Septum Removal

• Removing the septum (hysteroscopic metroplasty) can significantly improve fertility outcomes. Studies show that 50-80% of women with recurrent miscarriages have successful pregnancies after surgery, and about 20% who previously could not conceive may become pregnant.

4. Surgical Procedure and Complexity

• The surgery typically takes about an hour and is done on an outpatient basis, meaning the patient can go home the same day. It is generally safe but carries risks such as infection, bleeding, uterine perforation, or cervical injury. Postoperative healing usually completes within a few months.

5. Recommendations and Next Steps

• It is important to consult a gynecologist or fertility specialist who can assess your wife’s specific condition and discuss the benefits and risks of hysteroscopic septum removal. Individualized evaluation and follow-up care are essential to optimize fertility outcomes and monitor recovery.

If you have concerns about infertility related to a septate uterus, seeking expert advice from a gynecologist is the best next step. They can guide you through diagnosis, treatment options, and supportive care.