Can a malformed uterus affect normal fertility? Can it be treated?
2023-08-19 本站作者 【 字体:大 中 小 】
The abnormal uterus is not easily receptive to semen and sperm, and semen and sperm are difficult to survive in the abnormal uterus, which can affect sperm capacitation and conception; Moreover, due to poor development of the uterine myometrium and endometrium, as well as abnormal uterine morphology and volume, it is very detrimental to the survival of sperm. A defective uterus, even if difficult to conceive, can lead to placental attachment and abnormal development. Female uterine malformations have an impact on fertility.
What are the types of uterine malformations?
1 pair of uterus
If double uterus appears, it indicates that the patient has two sets of uterus, fallopian tubes, and ovaries. Usually, a normal pregnancy can also occur in both uterus, usually in one normal pregnancy, and there will also be a pregnancy process in both uterus. This type of uterine malformation is not common and usually does not require treatment.
2 bicornuate uterus
When this type of uterine malformation occurs, a corner grows on both sides of the patient's uterus, resulting in a smaller volume than the normal uterus. Therefore, miscarriage may occur in the early stages of pregnancy. Women with fertility requirements who are diagnosed with such uterine malformations should undergo timely surgery before pregnancy.
3 Uniangular uterus
This malformed uterus looks like a pear shaped leaf from the outside, with poor development. If the abnormal volume of the uterus is similar to that of a normal uterus, it is usually possible to conceive normally; If the volume of the malformed uterus is small, the likelihood of normal pregnancy is very low.
4 residual horn uterus
This type of uterine malformation occurs next to the large uterus, with a very small uterus. Some small uteruses have normal inner walls, normal function, and are prone to ectopic pregnancy. In severe cases, it can lead to uterine rupture, so timely surgical treatment is necessary before pregnancy.
5 mediastinal uterus
It is the most common and dangerous type of uterine malformation. During pregnancy, women are prone to miscarriage, premature birth, or difficult labor due to incorrect fetal position; The postpartum placenta can also adhere to the mediastinum, leading to phenomena such as placental retention. Therefore, if such malformed uterus is found during pregnancy, it is best to undergo timely surgical removal to avoid danger during pregnancy.
The most common and effective procedure for repairing uterine deformities is the symmetrical bicornuate uterus. If such patients have recurrent miscarriages, this surgery should be performed as early as possible. Perform a transverse incision of the two separate uterine horns from one side to the opposite side. Cut the muscle wall in half, one side on each side, facing the suture. The survival rate of infants after surgery can reach 60-85%. When the residual horn accumulates blood and causes uterine bleeding, the residual horn can be removed. The editor of 592 Baobao Net reminds everyone that if you become pregnant after undergoing uterine malformation surgery, you must pay extra attention to avoiding miscarriage and closely observe to avoid uterine rupture. Choose an appropriate delivery method based on the fetal position and progress of the delivery process of the mother.
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