Re: Septum May Have Grown Back! (pg/ m/c)

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Hi Lyndsey, and congrats on your new pregnancy.

Lots of women have a follow-up and still see septum there, which may or may

not be a problem. if it is 1 cm. or under in a nonpregnant uterus, its

impact on pg outcome should be negligible.

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Yes.

I had several m/c, including a late one, with incompetent cervix, before

being diagnosed with a complete SU (stretched to internal os cervix).

Resection #1 left 1.5 cm of rough-looking septum at fundus, and what seemed

to be an adhesion in lower segment, near cervical opening (btw, you can see

these under " Our uteri " > " HSGs " > " Beth " )

Went back for another resection. Doc saw no adhesions in lower segment and

cut away fibrous tissue on fundal septum until bleeding required that he

stop. He deemed my uterus " partial bicornuate " because of the vascularity

of what septum was left.

Follow-up #2 showed a very similar uterine configuration, with " adhesion " in

lower segment and a fundal remnant a little over 1 cm. long, but looking

smoother.

Got pg shortly after and m/c early.

Got pg again soon and carried to term, but the first- and second trimester

ultrasounds were really whacked, showing a complete septum, stretching from

top to the cervical os, with a window near the anterior uterine wall that

the baby could pass through.

The cut septum rose out of the back wall of the uterus as the uterus filled.

Around 17 weeks, we could see the baby fiddling with the edge of the septum,

like a big, rubbery lip.

At 20 weeks, the septum was gone, squashed flat again by the growing sac,

with just the muscular " BU " part showing at the top, a little.

I spent alot of time worrying about how the septum in there might break the

waters, strangulate him, etc.

Turned out that the baby had plenty of room to change positions, although I

never felt him do a long roll. At birth, which was a c-section, the

operating OB said that the baby's head had simply hollowed out the lower

left side of the uterus, while on the other side of the septum it was a

little tube or pocket that had never expanded.

So that's what happened with me, although my septum was apparently larger

than yours and my surgeon didn't do the best job that he might have. You

might also have one of those anomalous amniotic bands (not the syndrome!)

that shows up in US but never does any harm. I wouldn't be too worried.

FWIW, septa aren't usually very vascular and can't grow back, although they

can in theory adhere to something.

Good luck,

Beth

SU resected x 2

Teddy 12/3/02