Doctor insights on:
Uterine Septum Removal
U/S rpt:"Enlarged uterus lobulated contour&multiple uterine fibroids. [email protected] fundus' posterior wall&left fundal wall 3.1cm.Endometrial thickness normal,ovaries obscured byOverlying bowel gas" Any tests/scan/type of surgery recommend?
Fibroids: Are relatively common, and if you are not having any symptoms related to them, probably nothing needs to be done. It sounds like you had a transabdominal ultrasound and your ovaries could not be seen due to bowel gas. This happens occasionally. If your doctor wants to check your ovaries, you need to have a transvaginal ultrasound. If the ovaries are still difficult to see, MRI might be useful. ...Read moreSee 1 more doctor answer
Depends: If you have a nasal polyp on one side - yes it should be removed to make sure it is nothing more serious. Polyps almost always affect both nasal/sinus cavities. If it is seen on only one side - it should be biopsied (or removed). Polyps do not "need to be removed." indications for removal would be 1) if having surgery for chronic sinusitis 2) breathing difficulty 3) trouble smelling. ...Read moreSee 2 more doctor answers
Uterine wall- non secretory surface endometrium over myometrium. Uterine nodule - leiomyoma of uterus without cellular atypia. Uterine cervix- chro?
U/S shows 7cm hypoechoic mass/endometrioma on ovary, prominent uterus, irregular endocavity, polyps .. history of endometriosis. is hysterectomy next?
Not necessarily.: Many, many women have fibroids as they get older. Most don't even know they have them. If you are having symptoms due to them, like heavy periods, etc., then they may be worth treating. Discuss your options with your doctor. Very very rarely, a fibroid can become cancerous. See http://womenshealth.gov/publications/our-publications/fact-sheet/uterine-fibroids.html#g ...Read moreSee 1 more doctor answer
What does this mean? "Fibroid uterus w/notable partially degenerated 1.7 cm
fibroid in myometrium of the right uterine cornua. Atrophic right ovary"
Interpretation: A fibroid is a smooth muscle growth in your right section at the top of your uterus next to the right Fallopian tube. It is in the process of "falling apart"(degenerating) which can cause bleeding and pain. The right ovary is shrunken (atrophic) which is common in post menopausal women. ...Read more
Heavy uterine bleeding 3 weeks pelvic/transvaginal us hyperechoic uterine fundal myometrial focus may represent atypical fibroid or adenomyosis ?
Bleeding: Since its a focal area its more likely to be adenomyosis, which typically gets progressively worse as you age. However, you're also at the age when ovarian dysfunction often causes irregular, heavy and/or prolonged bleeding. You might be a good candidate for an endometrial ablation assuming you are done with having babies. ...Read more
See below: Strictly speaking the indications for removal are abnormal uterine bleeding, symptoms related to the bulky size of the fibroid, infertility or recurrent pregnancy loss. Many women choose hysterectomy when they are done with childbearing and desire a definitive end to their fibroid symptoms. If you do not have a lot of symptoms there is no necessity to remove fibroids. ...Read more
Bulky uterus. Anterior, irregular walled 23x26mm structure. ? Adenomyoma. Near internal os ill-defined structure 5x12mm. Cannot rule out polyp v scar.
What si your ?: you have given an ultrasound report but not asked a question. There is not room in 400 words to just chat about this data. Please tell us what you want to know so we can help. ...Read more
Well yes, but...: If the ovaries are removed, then you'll no longer be producing much female sex hormone at all, and you'd then essentially enter menopause unless hormones are replaced in pill form. Daily hormone replacement pills keep levels very stable which would generally end the sorts of symptoms you get from abnormal hormone fluctuation in PCOS. Though it's far too aggressive of a treatment just for PCOS. ...Read more
No: I would highly recommend removing them laparoscopically (minimally invasive approach). Although this method is more difficult to perform, for the patients, there will be great benefit (cosmetically small pleasing scars, 2 week recovery, less pain, quicker return to work). Please do your homework and find a skilled laparoscopic surgeon. The differences are night and day! ...Read more
Surgery: tomorrow I'm having nasal polyps removed, he's fixing my deviated septum, & having an extra sinus cavity removed. How long for recovery?
I am scheduled to have uterine septum and polyp removal surgery on Friday and am really nervous about general anesthesia. Is it an option to ask for a spinal or epidural instead?
3 miscarriages. Fetal karyotyping normal. D&c revealed uterine septum, but have healthy 7 y/0. What tests should i/we have next? $ is an issue.
Depends on you: To some extent you already have a good deal of information.You know that you can carry a baby to a healthy delivery. You also know you have a structural uterine defect that may cause a miscarriage. I'm not aware if they could reduce or remove your septum, or if such surgery would help.That may be a reasonable thing to discuss with your doc. ...Read more
Had hysteroscopy w/ septum resection, have uterine balloon stent catheter. Seems to be slipping out. How can I be sure the balloon is still in place?
Can I have my uterine septum removed and the fluid drained from my tube before i lose wgt due to me being in a lot of pain? I went to a fertility clinic and was diagnosed as having a uterine septum and my rt tube filled with fluid. The dr said i would ne
At : At this point i would not switch doctors, but i would communicate more with your doctor. A uterine septum does not cause pain. Usually a tube full of fluid does not cause pain. Scar tissue, infection, and endometriosis can cause pain. The decision on when to operate is based on a balance between the indications for the surgery and the possible complications of the surgery. If your pain is severe enough, this may outweigh the benefits of waiting for you to lose more weight. Since there are increased complications of surgery with increased weight, this decision needs to be taken only after careful consultation with your doctor. A fluid filled tube is called a hydrosalpinx. This is the result of a prior infection in the tube. Many studies have shown that this can reduce your chance of getting pregnant. This surgery requires entering your abdomen and it is easier to do this after you have lost the weight. Your risk of an infection after the surgery is also lower. The surgery to take care of a uterine septum is done by a hysteroscopy and your weight is much less of a concern with this surgery. Since this is not the cause of your pain, it seems that the main reason now for the surgery is to take care of your abdominal pain. The hysteroscopy can then be done at the same time. ...Read more
I had a hysterscopy with resection of small uterine septum 4 days ago and i am now having sypmtoms of a yeast infection. Is it safe to use Canestan?
I have a small uterine septate and had a 2nd miscarriage at 6 weeks. Baby did not implant on the septum. Could the septum still cause my miscarriage?
Possibly: It's best to consult with your obstetrician. Good luck. ...Read more
Laparoscopy&hysteroscopy 3weeks ago-disconnected left Fallopian tube&removed uterine septum.Have v.small amount of vaginal dark blood each day.Normal?
Here are some...: By the nature of healing process, you may just wait and see as long as being asymptomatic and slowly getting less and less. To help how to handle life/health-related concerns, follow suggestions in http://formefirst.com/onLifeBasics.html. Then you can work much better with doctors. If still concerned, see your doctors timely. All the best to health.... ...Read more
Retroflexed uterus and possible double uterine septum was in cd 13u/s.Ve to do HSG test next week.Wat chances that there is no septum?M 24.Ve pcos.Ttc
Septum: There is no such thing as a double uterine septum, period - so you don't have that. Do you have a septum? You need an hsg, or a hysteroscopy (or in some cases an mri) to say whether you have one or not, there is no way at all to guess online whether you have one. Septum is the most frequent of the congenital uterine anomalies. ...Read more
My mother had a partially bicournuate uterus and I was breech. Is it likely that I also have a septum in my uterus?
I have pcos years now and I have recently been diagnosed with a uteran septum which i want removed to not cause further difficulties would you agree?
Yes: Depending on the septum. A doctor can probably remove it hysteroscopiclly, maybe with laparoscopic guidance. ...Read more
Im getting my vaginal septum removed soon i want to know can I get on of the uterus removed also?
Yes: As long as it's a uterine septum - a dividing wall coming down from the top of the uterus) and not another uterine variant like didelphys (double uterus) or bicornuate uterus (uterus split at the top). Mri can tell. The surgery is operative hysteroscopy and is usually performed by a reproductive endocrinology and infertility specialist (rei). Less chance of miscarriage if you ttc after the surgery. ...Read more
Why did my dr tell me i might be a candidate to have a septum removed when they diagnosed me with a bicornuate uterus?
Big difference: There is a big difference between a septum and a bicornuate uterus. . A septum is a divider of your uterus but the outside of the uterus is normal. It can be excised. But, i would need to know how deep does the septum go down. If it is a little it might not be warranted. A consult with a reproductive endocrinologist might clarify the question. ...Read more
With having pcos and a uteran septum am i better of getting the septum removed to increase my chances of conceiving?
I was dx with complete septum in my uterus. I have hx of urinary incontinence and frequency. Is there a link between the two?
Ok so I have a septum 2 uterus and cervix how will i go about that will i still have to get an c-section ? I want to removed one uterus ? Sharp needle pain in cervix i need to know everything about it
Rare 2 remove 1 side: A true 'double uterus' is a uterine didelphys with two uteri, each with its own tube, and two cervices. This does not need surgery. If you are getting pain you need to be evaluated by a specialist, looking for a noncommunicating horn, where part of the uterus has nowhere for the menstrual blood to drain out (hematometra), endometriosis, or a vaginal septum with hematocolpos (blood in the vagina). ...Read more
What are the risks of miscarriage / still birth with a moderate arcuate uterus without septum? (Dx'd by HSG, confirmed via hysteoscopy)
Doc says I have septum/unicorn uterus and there is a 99% chance I can't give birth vaginally. (Had 1 csection already) what does this mean?
Bicornuate uterus: Women with unicornate uterus cannot carry a pregnancy to term, I assume you are talking about "Bicornuate or septate uterus" since you already went through one pregnancy. Bicornuate uterus has 2 cavities and in a septate uterus, your uterine cavity is divided by a septum, these can be differentiated by imaging studies like MRI. Some women deliver vaginally, please discuss with your OBGyn. ...Read more
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