Removing a Septum and Restoring the Uterine Shape
Surgical treatment for a uterine septum is most often performed using a hysteroscopy, a minimally invasive procedure that uses a thin camera inserted through the cervix into the uterine cavity. Once inside, specialized instruments allow your surgeon to gently cut and remove the septum.
Dr. Leigh Rosen explains that in most cases, hysteroscopy alone is enough. But if the septum is complete, broad, or if there’s uncertainty about the uterine anatomy, a laparoscopy may also be performed. This involves placing a small camera through the belly button to watch from outside the uterus while working inside it.
The goal of the surgery is to create a normal, open uterine cavity, reducing the risk of miscarriage or implantation failure. Because precision matters—removing too much tissue can lead to complications like scar tissue—your surgeon may recommend repeat imaging after healing to confirm that the cavity is fully restored. If a small amount of septum remains, a second procedure might be needed.
Supporting Healing and Planning for Pregnancy
Surgery for a septum is designed to support future fertility by correcting the shape of the uterus. Recovery is typically smooth, but follow-up imaging is essential to confirm results and reduce the chance of needing another procedure.
At ESSE Care, we take a conservative, fertility-preserving approach, aiming for complete removal without over-excision. We guide patients through the healing process with individualized care and work closely with fertility specialists when pregnancy is the goal. Contact ESSE Care today to learn more.
