According to the March of Dimes, 3 in 100 women are born with a defect in the size, shape or structure of the uterus.
When a girl is developing in the womb, two small tubes called Mullerian ducts come together to form her uterus. For some girls, the Mullerian ducts don’t come together completely and this can cause problems with the uterus, including:
These abnormalities may cause infertility or complications at child’s birth and health. Usually though, most problems arise during pregnancy. Problems such as:
There are though other uterine conditions that affect fertility, the uterine fibroids. Fibroids are benign growths made of muscle tissue in the uterus. This means you’re not born with fibroids; instead, they develop later in life.
Small fibroids usually don’t cause problems during pregnancy, but larger fibroids may cause complications, including:
How can you know if you have fibroids:
Some women with fibroids may need to be treated with medicine for pain in the belly and back. If the fertility specialist believes fibroids are making it difficult for you to conceive or causing you multiple miscarriages, they may recommend surgery (called myomectomy) to remove them.
What are uterine scars?
Scars or scar tissue in the uterus, also called Asherman syndrome. The scars can damage the lining of the uterus called the endometrium. They’re acquired conditions that can be caused by infections or conditions like endometriosis. They can also be caused by surgery on the uterus or cervix, like a procedure called dilation and curettage (also called D&C). A D&C is when tissue is removed from the uterus in certain situations like after a miscarriage.
Signs and symptoms of uterine scars include light, infrequent, or no periods; but some women may have no signs or symptoms. The scars though can cause trouble conceive, premature birth and repeat miscarriages. Your fertility specialist may use a procedure called hysteroscopy to find and remove scar tissue in the uterus.
How does the doctor evaluate if you have a uterine condition?
You may need more than one test to determine the conditions. Tests include vaginal or 3D ultrasound, sonohysterogram, hysterosalpingogram and/or an MRI.
Treatment of an abnormally shaped uterus.
Surgery is the only treatment to correct an abnormally shaped uterus, yet many women with such abnormalities don’t have the need for surgery. The general recommendation of a surgery is essential only if women experienced recurrent miscarriages or has compromised fertility due to the uterine abnormality. It may also be recommended if she experiences uncomfortable pain regularly.
When appropriate, surgeons will most often perform minimally invasive surgery via laparoscopy or hysteroscopy. They use a thin tube with a camera that’s inserted through very small incisions in the woman’s abdomen or through the vagina and cervix to view into the uterus. If surgical correction needs to be done, it can be done at this time with special surgical instruments inserted through the tube.
According to a study in Pubmed.gov which compared patients presenting a uterine anomaly between 1987 and 1992 with the normal population treated by IVF, results showed that the pregnancy rate obtained by the first patients is significantly lower than those obtained by the normal population. Also, the implantation rate by embryo transfer is 5.8% in the population with the uterine anomaly vs. 11.7% in the other group. These results significantly improve when the uterine anomaly can be treated.
Embryo implantation is found to be affected by the shape and integrity of the uterine cavity. If a congenital uterine anomaly is present, this can possibly affect the ability of an embryo to implant, resulting in pregnancy loss. Additionally, other studies have suggested that the effects on fertility caused by uterine anomalies could be mediated through other infertility factors. For example, patients with uterine anomalies are more likely to have infrequent or no periods. They are also more likely to have endometriosis.
In any case, if you are considering a fertility treatment while having a uterine anomaly, consult with your fertility specialist in order to come up with the best plan for your specific case. MEDIPASS cooperates with some highly-experienced fertility specialists in Greece that will give you their undivided attention and act always according to your wants and needs.
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