The patient: I had an ultrasound at Liaoyuan Women and Infants, and this is what he wrote: anterior uterus, 5.2*5.4*3.0 anterior-posterior diameter 3.0 endometrium left 0.8 right 0.6 muscle wall echogenicity ovarian size left 2.8*2.4 right 2.2*2.5 range: uterine cross-section: endometrium divided into two parts by muscle tissue. The ultrasound indicates that the uterus has abnormal echogenicity (completely longitudinal uterus) None Can I get pregnant, do I need to do another test, do I need to do surgery? How long will it take to get pregnant after the surgery? Thank you, doctor!!! The first menstruation age: 13 The number of days of each period: 28-30 The average number of days of the menstrual cycle: 29 The volume, color, abdominal pain: normal Bright red Swelling waist pain The date and condition of the last menstruation: April 2 As usual Age of marriage: 24 The number of pregnancies: No The number of miscarriages: No The number of births: No The number of obstetrics and gynecology department of the Second Hospital of Jilin University Cui Manhua
Cui Manhua, Department of Obstetrics and Gynecology, Second Hospital of Jilin University: Hello! Longitudinal uterine septum, especially complete longitudinal septum usually affects pregnancy to varying degrees, either by infertility or miscarriage, but a small percentage of people can have a normal pregnancy to full term. What you need to do now is to first confirm whether it is a longitudinal uterus, complete or partial, and this exact diagnosis needs to be done by hysteroscopy. If you do have a longitudinal uterus, you need to choose the treatment according to the type of longitudinal. In general, a hysteroscopic hysterectomy is required, which is a minimally invasive technique that takes only 15 – 20 minutes to complete. After surgery, a metal birth control ring must be placed in the uterus and removed after 3 months, and pregnancy can occur after another 6 months. I am out of clinic every Thursday morning.
Patient: Hello Professor Cui I went to see you on August 27th. You said at that time that I had a double cervix so if I had a longitudinal uterus I could not be removed. Ultrasound you have read: anterior uterus, uterus size 4.3*4.8*3.2, wide transverse diameter, uterine cavity in the shape of “Y”, the left side of the endometrial thickness of 0.8CM, the right side of the endometrial thickness of 0.8CM, the uterine wall echo uniform. Ultrasound suggests: abnormal uterine morphology, longitudinal uterus? Please combine with clinical. Endoscopy report card:Endoscopic findings: cervical dilatation: undilated Direction: anterior Cervical depth: 7cm/7cm Microscopic findings: cervical: all smooth, small Endometrium: color: pinkish white Thickness: medium thick Polypoid hyperplasia: none Bleeding: none Debris: none Mucus: none Polyp: none Other: longitudinal diaphragm visible in vagina 1/2, about 5cm long, double uterus, overlapping upper and lower, complementary traffic. Diagnosis: vaginal mediastinum, double cervix, double uterus. The doctor who did this to me said that both my uterine cavities are quite large. Professor Cui I would like to ask you, how can I get pregnant in this case? Will it have any effect on pregnancy? I have never had a baby before and my periods are normal, can my fallopian tubes be blocked? Will vaginal diaphragm affect the conception? Is there any problem if I have it removed? Will it help to get pregnant? If I have a normal set of reproductive organs, how can I not conceive if I have one more set of normal reproductive organs than others? Can you help me please?
Cui Manhua, Department of Obstetrics and Gynecology, Second Hospital of Jilin University: Hello! Longitudinal vagina does not usually affect conception. If the doctor says that the 2 uterine cavities are big enough, it should not affect pregnancy, but you need to check whether the fallopian tubes are open. However, your hysteroscopy report “double uterus, overlapping and complementary traffic”, I am not sure if the diagnosis of double uterus is valid. Or is it a longitudinal uterus? You need to talk to the hysteroscopist again to confirm whether it is a double uterus. So that you can choose the accurate treatment.
Patient: Hello! Thank you for interpreting my report in your busy schedule. But do I still need to do another hysteroscopy then? Is a double uterus two separate uteruses? Can I reach you if I don’t go during your clinic hours?
Cui Manhua, Department of Obstetrics and Gynecology, Second Hospital of Jilin University: Hello! It is better to have a hysteroscopy in our hospital. A double uterus is two separate uteruses, but they are usually smaller. Most of the time when I am not in the clinic I am in the operating room doing surgery, often all day, and it is hard to see. Cui Manhua.