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What Is The Diagnosis For Sepatate?
Diagnosed with a Septate : We recently had a chemical pregnancy a few weeks back. We went to the ER on the first sign of bleeding and they diagnosed us with a threatened miscarriage. A non-gyno doctor also took our Ultra Sound ( Outside and vaginal ) and told me that I may have a partial orfull septate. We then consulted with a friend who is a Gyno. He said that a chance of misdiagnosis is higher than me actually having the septate. He also said that it is not possible to diagnose a septate with simply an ultrasound and that we could not confirm anything unless an X-Ray is performed. We then went to a third hospital , where a gyno-nurse confirmed our Chemical Pregnancy. She also did an ultrasound but told us nothing about an apparent septate. We are now confused at where we stand. I need to know for sure whether I have a septate or not. If so , I need to know the extent. I have the Ultra Sound images which apparently made the first ER Doctor believe I have a septate. I need someone to look into them and let me know whether I truly have a septate or not. If I do , what is its extent ? and if any corrective surgery is required ?
Fri, 1 Feb 2019
Hi
Ultrasonography may be useful in making the diagnosis of a septate uterus, however, Hysteroscopy is considered the gold standard for the assessment of intrauterine abnormalities, including septa. If the ER doctor has the impression of septate, you should definitely go for other investigations to confirm the same including Hysteroscopy, MRI or saline infusion sonohysterography.
Currently, indications for surgical correction of a uterine septum include pelvic pain, endometriosis, an obstructing phenomenon, recurrent miscarriage, infertility and history of preterm delivery. It is not considered necessary to remove a septum that has not caused problems, especially in women who are not considering pregnancy.
So, I will suggest you to go for proper investigation and required treatment if any of the above-mentioned problems are there.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Maninder, General & Family Physician
Ultrasonography may be useful in making the diagnosis of a septate uterus, however, Hysteroscopy is considered the gold standard for the assessment of intrauterine abnormalities, including septa. If the ER doctor has the impression of septate, you should definitely go for other investigations to confirm the same including Hysteroscopy, MRI or saline infusion sonohysterography.
Currently, indications for surgical correction of a uterine septum include pelvic pain, endometriosis, an obstructing phenomenon, recurrent miscarriage, infertility and history of preterm delivery. It is not considered necessary to remove a septum that has not caused problems, especially in women who are not considering pregnancy.
So, I will suggest you to go for proper investigation and required treatment if any of the above-mentioned problems are there.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Maninder, General & Family Physician
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