comments (10)
Posted 12/29/16
I'm very sorry for your loss.
From everything I've read, no, a septum can not grow back. A septum is created during the gestation of a female baby, when the two mullarian ducts are supposed to fuse together completely, but do not do so completely. It's not tissue that develops later in life, it's there since your body was being created. That being said, scar tissue could form from where the resection surgery was performed. Did they do any kind of imaging after your resection surgery, to verify the septum was removed completely, or at least leaving only a few mm of tissue?
@shouareau
Thank you for the responce! That was my understanding too, but my OB says it could grow back. Though, I can tell she is not sure and she doesn't have many experience with septum. My RE did ultrasound after she removed the balloon and said everything looks great. The doctor did not mention leaving some septum. There is a chance I have a slight bicornate shaped uterus and had the septum too. If that is the case and the septum was removed, the recent miscarriage could be nothing to do with the septum. From the fair amount of googling I did, I couldn't find any trust worthy source about the septum re-growing, juts some women claiming theirs did.
This is a completely differnt topic... but did you read anything about septum could be hereditary? I.e., chance of my daughter having septum could increase if I have it?
I didn't hear back from my RE(she may be on vacation) but made an appointment with her.
Posted 12/30/16
I've never read anything about it being hereditary, just a congenital defect.
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A septum cannot "grow back", but if your doctor used a balloon, it sounds they used the cauter rather than scissors to remove it? If that's the case, then the parts than are cauterized get "sticky" and can fuse back to each other or other parts of the uterus.
Did you find out if they are talking about the uterine cavity or the exterior shape of your uterus?
@missauntiej
I'm not sure if my RE used cauter or scissors. Do you know if the "sticky" part can fuse back even after going through one full term pregnancy? I read somewhere the tissue from the septum resection could fuse back if you don't get pregnant soon after the surgery because the tissue doesn't fully retract. I bacame pregnant with my DD 2 months after the resection.
The ultrasound tech showed me the picture and the cavity(the black part) looked heart shaped. My RE never mentioned I had heart shaped exterier, so I assume there is something inside. With my DD, I had placenta accreta and had to have D&C to remove part of placenta, so that could possibly leave scar tissue. I'm not sure if the scar tissue could prevent uterus from stretching normally, but if it could happen, that could be the reason my uterus looked heart shaped only when I was pregnant. I had ultrasound in August during my routine check up and specifically asked the tech(same person) if she sees septum and she said no. I had another ultrasound 3.5 months later to check the pregnancy and she didn't mention seeing septum. Then one week later, after miscarrige, my uterus looked heart shaped.
My appointment is in one week and I really hope I don't have to go through another surgery....
m
Posted 1/19/17
a1184
said:
@missauntiej
I'm not sure if my RE used cauter or scissors. D…
I hope you don't either. The tissue doesn't fully retract when it's cauterized. You can probably ask for your records to find out what tool they used. With scissors, the tissue retracts and does not stick back together.
I think it's really hard to evaluate the shape of your uterus during a pregnancy so I would trust the post pregnancy/mc ultrasound more. Did it look very extreme? Could it be that the cavity is heart shaped but they cut down the septum enough and the rest of the cavity is vascular enough? I mean that would be best case scenario right?
What do they suggest as your next step?
missauntiej
said:
I hope you don't either. The tissue doesn't fully retract when it's…
One thing I know is that my septum was HUGE! The doctor said it was down to cervix and blocking one of the tube. She was surprised I was able to get pregnant at all. The ultrasound picture I saw didn't look very extreme. It looked more like minor subseptate uterus. Though it's not like the doctor or the tech explained it as they show me the picture, so it may be more sever than it appears.
Another thing I completely forgot the doctor mentioned is that I apparently have a fibroid on "top of" the uterus, but it is "small"(size of thumb nail.) Again, doctor just mentioned it and said it is nothing to worry about. I didn't know until I came home and googled it that fibroid could cause miscarriage depending on the location. If the "top of" the uterus meant outside of uterus, that's fine. But if it is inside the uterus or inside the wall, that could be a problem(and it could change the shape of uterus.)
The next step will be seeing my RE who did the original surgery and see what she says. She is a really good doctor who loves to explain things and always gives me straight answer, so I will be able to ask all the questions I have. I like my OB a lot as a person, but I can tell she is not used to being asked difficult questions.
m
Posted 1/20/17
a1184
said:
One thing I know is that my septum was HUGE! The doctor said it was…
Ah so you've got a lot of possibilities and nothing definitive. Hope your RE can get you actionable answers!
I'm so sorry you had another loss. I just had a d&c yesterday too for another mmc after having to be induced at 41+3 w/ DD. I had hoped it would all go smoothly this time... but no such luck.
missauntiej
said:
Ah so you've got a lot of possibilities and nothing definitive. Hope y…
I'm so sorry for your loss.... how are you feeling? How far along were you?
I was thinking the same thing. After losses, the septum resection and finally having an alive baby, I thought TTC#2 will be easier. Well... I was wrong. Already 2 loses while TTC#2. I thought I could actually enjoy pregnancy this time around without worrying about loss.
I will update what my RE says. Again, I'm so sorry for your loss, missauntiej.
Just in case somebody wants to know how my RE visit went...
Ultrasound showed no septum nor scar tissue from D&C. RE still wants to do HSG to make sure, but she didn't think they were significant enough to affect the pregnancy. The septum I thought I saw were actually my tube lol I didn't know uterus doesn't show up black on the screen.
Also, my fibroid is outside of the uterus, so it won't affect pregnancy. One thing she mentioned is that I have a gene mutation that prevents my body from absorbing folic acid. Which means apparently my uterus doesn't get enough blood. So, if I want to become pregnant, I HAVE TO be on prescription prenatal vitamin and additional prescription strength folic acid. Now I think about it, she put me on prescription prenatal plus B12 tablet right after she did blood panel for the first time(before septum removal.) I thought it was for anemia, but she may have explained the mutation thing(I was thinking only about the septum.) I'm not sure if this is something my OB should have known from the test result sent from the RE...
Anyway, I still don't know if I have to have another surgery, but the likelihood is lower now. Now, I have to figure out if I should change my OB or not....
End of comments