What to do if there is uterine malformation during artificial insemination

  With the continuous development and progress of society, modern medical technology is also becoming increasingly advanced. Although artificial insemination is not the most advanced technology, it is indeed a blessing for infertile families. Artificial insemination is the process of injecting male semen into the female uterus to achieve successful implantation. However, artificial insemination requires a healthy uterine environment, and some women may have issues with uterine malformations. So what should be done if there is uterine malformation during artificial insemination?

  

What to do if there is uterine malformation during artificial insemination1

  At the current level of medicine, artificial insemination includes two types: spousal artificial insemination and non spousal artificial insemination. If there are symptoms such as abnormalities in the male's sexual organs or problems with sperm, as well as symptoms such as blocked fallopian tubes, insufficient ovulation, or cervical stenosis in females, artificial insemination between spouses can be chosen. Male symptoms such as azoospermia and vas deferens obstruction are treated through non spousal artificial insemination. However, artificial insemination is not suitable for women with genital abnormalities.

  If a woman suffers from uterine malformation and wants to undergo artificial insemination, she needs to undergo uterine malformation repair surgery before undergoing artificial insemination. There are three common types of uterine malformation repair surgeries:

  1. Residual angle hysterectomy. The excision of residual horn uterus is suitable for patients diagnosed with residual horn uterus outside of pregnancy, those with endometrial blood retention in residual horn uterus function, and those with residual horn uterus pregnancy. In addition, it is necessary to remove the ipsilateral fallopian tube to avoid the occurrence of ectopic pregnancy in the future. The treatment for this type of uterine malformation requires contraception for at least one year after surgery before conception can occur again.

  2. Uterine mediastinal resection. Patients with uterine mediastinal malformation need to undergo hysteroscopy or transabdominal surgery. At present, most hospitals use laparoscopic monitoring and hysteroscopic surgery to remove the uterine septum, thereby improving the safety of the surgery, and the success rate of the surgery can reach about 75%. However, this surgery is suitable to be performed within 5-10 days after menstruation.

  3. Uterine anastomosis. For patients with recurrent miscarriage caused by bicornuate uterus and excluding miscarriage caused by other non uterine malformations, uterine anastomosis is feasible.

  Becoming a mother is almost every woman's desire, but in cases where pregnancy cannot be achieved due to various factors, artificial insemination can be used. If a woman has uterine malformations, she must first undergo uterine malformation repair surgery before undergoing artificial insemination.

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