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Septate or Bicornuate Uterus

ndz2018ndz2018 member
edited October 2017 in Infertility
Hey everyone! I’m pretty new to the IF boards and haven’t seen any discussions about this topic.
Today was our first RE appointment. During the U/S she saw two cavities she said it could be a septate, which can be shaved down and is a fairly simple procedure or it could be a bicornuate uterus in that case we will go straight to IVF. My cousin had a bicornate uterus and TW both of her children she could not carry to term END TW. I won’t know for sure until I have my HSG test which will be in approximately 10 days.  Here are my questions:
 EDITED 
For anyone who has had a septate uterus how was the procedure ? 

For anyone with a bicornate uterus? What is the protocol?

 I think she said if it is bicornuate I will be going straight to IVF. 
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Re: Septate or Bicornuate Uterus

  • tosh24tosh24 member
    A few of us are dealing with secondary infertility, but most women here have not had successful pregnancies and therefore can't answer your questions. You'll probably get better answers on the PAIF board or tri boards. Good luck.
    Me: 35 I DH: 38
    *TW loss and children mentioned*
    DD:2006 | Dx: Unexplained Secondary Infertility | DS: 2011

    TFAS since 2012

    Oct 16: Spontaneous BFP | m/c @ 9w1d (massive SCH) | D&C
    Apr 17: IUI #1 = BFN
    May 17: IUI #2 = BFN
    Jun 17: IUI #3 = Late BFP (18 DPO) | NMC 17Jul17 @ ~6w
    Aug 17: IUI #4 = Cancelled due to premature ovulation | TI = BFN
    Sep 17: IUI #5 = Cancelled due to overstimulation (10+ follies)
    Nov 17: IVF #1 = Cancelled due to non-IF related health issue | TI = BFN
    Dec 17: IVF #1 = Puregon 200, Menopur 75, Orgalutran, Suprefact trigger due to OHSS risk | 22R, 18M, 16F, 10B frozen  
    Feb 18: FET #1 (medicated) = BFN
    Mar 18: FET #2 (natural cycle) = CP (beta 1: 54; beta 2: 0)
    Apr 18: FET #3 (natural cycle) = cancelled due to missed ovulation
    Apr 18: FET #3 (natural cycle) = BFP! Beta 1: 201  Beta 2: 585 Beta 3: 3254 Beta 4: 9715 U/S 19May - one bean measuring on track with a HB of 125!
    EDD: 07Jan2019 Team Green
    My Rainbow Baby Boy born 03Jan2019 <3 

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  • ndz2018ndz2018 member
    edited October 2017
    @tosh24  Ok just wanted to know if anyone had gone through what I’m going through or know anyone who has. All feedback is welcome. Or maybe someone to empathize what I’m going through. I edited it to fit the rules my apologies
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  • marfi236marfi236 member
    @ndz2018 I have a septate uterus and I will be having surgery to have the septum removed November 7th.  So I can't say anything about how the procedure is right now. :)

    When I had my HSG they thought initially that it was bicornuate so I had a saline u/s to verify.  The saline U/S showed that I actually have a septate uterus.  I did 3 IUI cycles which all failed but my doctor is fairly sure that they failed because of hubs low count rather than the septum.  I will be moving on to IVF in January and my doctor and I decided that it was best to remove the septum before that just to ensure that it isn't a problem.
    Infertility Journey (in spoiler because it's way too long and child/loss mentioned)
    Married: 08/09/2013; TTC #2
    Me: 31, possible PCOS and Septate Uterus (Septum removed in November 2017)
    DH: 31, MFI (Low Count and Low Motility)
    July 2017 - IUI #1 - Letrozole 2.5 mg, no trigger, Prometrium 100 mg 2x a day - BFN
    August 2017 - IUI #2 - Letrozole 2.5 mg, no trigger, Prometrium 100 mg 2x a day - BFN
    September 2017 - IUI #3 - Letrozole 2.5 mg, no trigger, Prometrium 100 mg 2x a day - BFN
    November 2017 - Uterine Septum removed
    December 2017 - IVF Consultation
    January 2018 - IVF #1 - Retrieval 1/24 - 2 Day 3 embryos (1 transferred fresh, 1 frozen) and 2 Day 5 embryos frozen
    February 2018 - Fresh Transfer - Transfer 1/27 (1 day 3 embryo) - BFN
    March 2018 - FET #1 - Transfer 3/2 (1 day 5 embryo) - BFP!  1st beta (10dp5dt) - 101; 2nd beta (17dp5dt) - 3061! Due 11/18/2018
    March 2018 - Remaining embryos lost in malfunction.

    October 8, 2018 - Son born at 34 weeks and a day due to preeclampsia and HELLP syndrome.  Spent 13 days in the NICU.
    Lilypie Premature Baby tickers

    June 2019 - IVF #2 - Cancelled - Cyst on Ovary
    July 2019 - IVF #2 Take 2 - Retrieval 8/1 - 5 Day 5 embryos frozen
    August 2019 - FET #1 - Cancelled - No Trilaminar Lining
    September 2019 - FET #1 - Transfer 9/25 (1 day 5 embryo) - Chemical Pregnancy - 1st beta (9dp5dt): 110; 2nd beta (14dp5dt): 357; 3rd beta (16dp5dt): 188; 4th beta (23dp5dt): 7
    November 2019 - FET #2 - Transfer 11/6 (1 day 5 embryo) - BFN
    December 2019 - FET #3 - Transfer 12/11 (1 day 5 embryo) - BFP! - 1st beta (8dp5dt): 102; 2nd beta (15dp5dt): 2636! Due 08/28/2020

    August 13, 2020 - Son born at 37 weeks an 6 days due to failed BPP (Gestational Diabetes).
    Lilypie First Birthday tickers
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  • adiratadirat member
    @ndz2018 A friend of mine had a septate uterus. She had surgery and was benched for 1-2 cycles afterward as it healed. Once she was off the bench, she was able to get pregnant right away. 

    I'm confused about why a bicornuate uterus would send you directly to IVF. I thought the risks of bicornuate uterus were in carrying, not in getting pregnant -- namely the high risk of miscarriage, ectopic, preterm labor, breech baby, etc. 


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  • marfi236marfi236 member
    @ndz2018, as @adirat 's post so helpfully reminded my, after my surgery I have to take 2 cycles off and then in January we will be able to continue with the process!  I've seen some people who have only had to take a single cycle off so it probably depends on the doctor.
    Infertility Journey (in spoiler because it's way too long and child/loss mentioned)
    Married: 08/09/2013; TTC #2
    Me: 31, possible PCOS and Septate Uterus (Septum removed in November 2017)
    DH: 31, MFI (Low Count and Low Motility)
    July 2017 - IUI #1 - Letrozole 2.5 mg, no trigger, Prometrium 100 mg 2x a day - BFN
    August 2017 - IUI #2 - Letrozole 2.5 mg, no trigger, Prometrium 100 mg 2x a day - BFN
    September 2017 - IUI #3 - Letrozole 2.5 mg, no trigger, Prometrium 100 mg 2x a day - BFN
    November 2017 - Uterine Septum removed
    December 2017 - IVF Consultation
    January 2018 - IVF #1 - Retrieval 1/24 - 2 Day 3 embryos (1 transferred fresh, 1 frozen) and 2 Day 5 embryos frozen
    February 2018 - Fresh Transfer - Transfer 1/27 (1 day 3 embryo) - BFN
    March 2018 - FET #1 - Transfer 3/2 (1 day 5 embryo) - BFP!  1st beta (10dp5dt) - 101; 2nd beta (17dp5dt) - 3061! Due 11/18/2018
    March 2018 - Remaining embryos lost in malfunction.

    October 8, 2018 - Son born at 34 weeks and a day due to preeclampsia and HELLP syndrome.  Spent 13 days in the NICU.
    Lilypie Premature Baby tickers

    June 2019 - IVF #2 - Cancelled - Cyst on Ovary
    July 2019 - IVF #2 Take 2 - Retrieval 8/1 - 5 Day 5 embryos frozen
    August 2019 - FET #1 - Cancelled - No Trilaminar Lining
    September 2019 - FET #1 - Transfer 9/25 (1 day 5 embryo) - Chemical Pregnancy - 1st beta (9dp5dt): 110; 2nd beta (14dp5dt): 357; 3rd beta (16dp5dt): 188; 4th beta (23dp5dt): 7
    November 2019 - FET #2 - Transfer 11/6 (1 day 5 embryo) - BFN
    December 2019 - FET #3 - Transfer 12/11 (1 day 5 embryo) - BFP! - 1st beta (8dp5dt): 102; 2nd beta (15dp5dt): 2636! Due 08/28/2020

    August 13, 2020 - Son born at 37 weeks an 6 days due to failed BPP (Gestational Diabetes).
    Lilypie First Birthday tickers
    Report Reply
  • ndz2018ndz2018 member
    edited October 2017
    @adirat @marfi236 Not sure why she would move to IVF it was our first consultation and I am 37, she pretty much told us even before the test if she finds one thing wrong with SO, who is 42, or I it’s straight to IVF. She doesn’t want to waste any time. I’ll have more time to ask questions after my HGS test and Saline Sono. Maybe to bypass the risks of eptopic? IDK I’ll know more after my tests... still waiting for AF to come to get my CD3 tests! Of course the one time I wanted it to come on time it doesn’t lol
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