How Do Birth Abnormalities of the Uterus Affect Pregnancy? скачать в хорошем качестве

How Do Birth Abnormalities of the Uterus Affect Pregnancy?

How do birth abnormalities of the uterus affect pregnancy? In this video, Mark P. Trolice, M.D., board-certified reproductive endocrinology and infertility specialist and founder of Fertility CARE: The IVF Center shares his insights on the different types of congenital irregularities he commonly sees and what to do about them. “Congenital abnormalities of the uterus don’t typically cause infertility, but they can cause problems during pregnancy,” says Dr. Trolice. “The incidence is probably about 4% of women are born with a uterine abnormality.” Dr. Trolice explains the process of embryology - how the uterus is formed in the female fetus while in the womb. “If the uterine cavity did not fuse properly in the womb then a woman can end up with a bicornuate uterus,” he says. “It doesn’t cause infertility but the malformed uterus can increase the risk of miscarriage, preterm labor and delivery, and breach thereby necessitating a cesarean section.” “Another congenital uterine abnormality is called a didelphys where a woman has two cervixes and two uteri,” Dr. Trolice continues. “That has no consequence other than preterm labor and breach, as both half-uteri are complete in their own right.” “The abnormality we see most commonly in patients who have recurrent miscarriage is a septum representing 10-15% of patients. The top of the uterus is fine, but it didn’t core out. Instead of normal endometrium, you have fibrous tissue increasing the risk of miscarriage to about 44%.” According to Dr. Trolice, bicornuate uterus and didelphys are not surgically treatable and should not be treated. However, a septum can be treated with a minor outpatient procedure. “We put a hysteroscope inside the uterus, burrow a hole through the fibrous tissue, and open it up until you have a normal uterine cavity,” explains Dr. Trolice. “A mild septum called an arcuate uterus is when the septum is less than 1 cm, and nothing needs to be done. There are variations on all these conditions. If you have a one-sided uterus, called a unicornuate uterus, sometimes you will find a residual horn (on the other side). If it is not communicating with the cervix and the vagina, then you can have a normal uterine cavity within the horn, and become pregnant in there. Now that can be dangerous as the fetus has nowhere to go (known as an ectopic pregnancy). The horn, unfortunately, needs to be surgically removed.” However, if no horn is present, there is no risk of conceiving and carrying a baby to term within a one-sided uterus. “The bottom line is that there is no urgency with any of these situations,” concludes Dr. Trolice. “None of these irregularities should prevent you from being able to conceive. The septum is the most common condition that we see, associated with early pregnancy loss, and is easily surgically correctable.” For more visit https://www.myfertilitycare.com/ To learn more about Dr. Trolice visit http://www.myfertilitycare.com/mark-t... To learn more about Fertility CARE fertility services visit https://www.myfertilitycare.com/our-s... To learn more about IVF visit https://www.myfertilitycare.com/ivf/ To learn more about IUI visit https://www.myfertilitycare.com/infer... Dr. Mark P. Trolice is the Director of Fertility CARE in Winter Park, Fla., the most comprehensive fertility center in the Southeast. A leader in the field of reproductive endocrinology, Dr. Trolice has helped countless patients become parents in central Florida since 1999. In addition to his work at Fertility CARE, Dr. Trolice is also the Clinical Associate Professor in the Department of Obstetrics & Gynecology (OB/GYN) at the University of Florida in Gainesville and the University of Central Florida in Orlando. Dr. Trolice is double Board-certified in REI and OB/GYN while maintaining annual recertification in these specialties and has been awarded the American Medical Association's "Physicians' Recognition Award" annually. In May 2005, Dr. Trolice was inducted into the prestigious American College of Endocrinology adding to his unique distinction of also being a fellow in the American College of OB/GYN and the American College of Surgeons. His fellow physicians have selected him for Best Doctors in America® annually since 2007, honoring him as one among the top 5% of doctors in the U.S.