Does a Y-shaped uterine septum affect fertility?
Y-shaped uterine septum can have a certain impact on fertility, and patients are advised to undergo active treatment before attempting pregnancy.
Y-shaped uterine septum is one type of septate uterus, which is a common congenital malformation of the reproductive system. It occurs when the development of female reproductive organs during embryogenesis is disrupted by external factors. The uterine cavity is divided into left and right cavities; in cases of incomplete septum, the endometrial cavity appears V-shaped, while in complete septate uterus, it appears Y-shaped. Generally, women with a Y-shaped uterine cavity may experience fertility issues. In early pregnancy, this condition increases the risk of embryonic developmental arrest or spontaneous abortion. During mid-pregnancy, the limited intrauterine space may lead to fetal malformations or intrauterine growth restriction.
It is important for patients to treat the condition before becoming pregnant to avoid risks to both maternal and fetal health. Treatment is typically performed via hysteroscopic surgery, which generally yields good outcomes.