Abstract
Non-obstructing vaginal septa may be asymptomatic. However, both women with non-obstructing as well as (microperforate) obstructing vaginal septa may report tampon related problems. Furthermore, vaginal septa can cause apareunia or dyspareunia, and trauma may occur during intercourse. Obstructing septa cause hemato(metro)colpos, presenting as amenorrhea with cyclic pelvic pain, or progressive dysmenorrhea. Delay in the diagnosis is related to severe complications. Finally, vaginal septa can cause labor dystocia, and laceration of the septum may occur during delivery. The presence of a septate uterus is often asymptomatic. Nevertheless, it may lead to incorrect T-shaped IUD placement, and is related to subfertility and adverse pregnancy outcomes [ [1] Pfeifer, SM (Ed.). Congenital Müllerian anomalies.1st ed. New York, NY, USA: Springer International Publishing Switzerland; 2016, corrected publication 2018. Google Scholar ]. Vaginal septa need to be treated when symptomatic, in case of obstruction, and may be treated to avoid labor or delivery complications. In case of obstruction, endometrial suppression can delay surgical treatment when necessary [ [2] Dietrich J.E. Millar D.M. Quint E.H. Obstructive reproductive tract anomalies. J Pediatr Adolesc Gynecol. 2014 Dec; 27: 396-402 Abstract Full Text Full Text PDF PubMed Scopus (79) Google Scholar ]. Uterine septa may be treated in order to place a T-shaped IUD. In the only, recent RCT, uterine septum resection was found not improve live birth rates compared with expectant management. The authors therefore recommend against routine septum resection. Still, after counselling, an informed decision can be made [ [3] Rikken J.F.W. Kowalik C.R. Emanuel M.H. Bongers M.Y. Spinder T. Jansen F.W. et al. Septum resection versus expectant management in women with a septate uterus: an international multicentre open-label randomized controlled trial. Hum Reprod. 2021 Apr 20; 36: 1260-1267 Crossref PubMed Scopus (18) Google Scholar ].
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callMore From: European Journal of Obstetrics & Gynecology and Reproductive Biology
Disclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
