Symptoms and significance
A septum usually does not affect periods or daily life. It is most often discovered in the following situations:
- Recurrent pregnancy loss
- Preterm birth or a breech baby
- Investigation of infertility
Diagnosis
Three-dimensional ultrasound and MRI are the most useful methods for distinguishing a septum from other developmental differences of the uterus (such as a bicornuate uterus). Hysteroscopy shows the uterine cavity directly, and treatment is carried out with the same method.
Hysteroscopic septum resection
The septum is cut with a hysteroscope passed through the cervix, creating a single, regular uterine cavity. No abdominal incision is needed; the procedure is performed under brief anaesthesia and you go home the same day.
- Treatment is recommended particularly for women with a history of recurrent miscarriage or preterm birth.
- It is not routinely needed for women without symptoms and without pregnancy plans; the decision is individual.
- To allow the uterine lining to heal, pregnancy is usually planned 1–2 months after the procedure.
Frequently asked questions
Does a septum cause infertility?
The direct effect of a septum on fertility is debated; it is more closely linked with pregnancy loss and preterm birth. The decision to treat depends on your personal history.
Can I have a vaginal birth after septum surgery?
In most cases, yes. The mode of delivery is decided according to the circumstances during pregnancy.
Can a septum grow back?
No; it is a congenital structure and does not re-form. Rarely, a second procedure is needed to correct a remaining part.
Book a consultation
Prof. Dr. Derya Sivri Aydın sees patients at Medical Park Bahçelievler Hospital, Istanbul. International patients are supported by the hospital's International Patient Services Center.
The information on this page is for general guidance only; the right diagnosis and treatment for you are decided after a consultation. Last updated: November 2026.