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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Will I Conceive After Taking Sectum In Uterus Out?

i am married for 10 years i dint concieve the time i got married finally after 10 years i planned for laproscopy and i came to know that there is tb in my uterus and there was a sectum in the uterus and my doctor has taken out the sectum now i am on akt 4 can i become pregnant

Thu, 5 Nov 2015
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OBGYN 's  Response
Dear Madam,

Tuberculosis of the reproductory organs does lead to problems in conceiving. It seems, there were some adhesions in your uterus due to the involvement of the uterine lining. Breaking the adhesions or removing a septum does not assure pregnancy. The extent of involvement of uterine lining plays a great role. You will have to undergo treatment for genital tuberculosis which is for minimum 6 -9 months. Then if your uterine lining regenerates healthily, you have some chance of pregnancy.

Sometimes, along with the involvement of uterine lining, the fallopian tubes also are involved by tuberculosis and get blocked. Even though the block is removed, the tubes become spastic, lose their motility and thus cannot propel the egg to the uterus. In such case, natural pregnancy is almost improbable. If the uterine lining is normal, then test-tube baby (in vitro fertilization and embryo transfer) may work.

I feel you should plan as follows:
1. Get tuberculosis treated first.
2. Get yourself thoroughly investigated for patency and mobility of the tubes (by hysterosalpingography and/or laparoscopy) and status of uterine lining (by hysteroscopy and ultrasonography).
3. Find out whether you form eggs regularly (by ultrasonography, ovulation monitoring kit or hormonal profile)
4. Get your husband's semen examined.

All these investigations can give you idea whether you can conceive or not. Of course, they have to be carried out only after your full treatment of tuberculosis is over; i.e. after 6 - 8 months.

Take care please.
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Will I Conceive After Taking Sectum In Uterus Out?

Dear Madam, Tuberculosis of the reproductory organs does lead to problems in conceiving. It seems, there were some adhesions in your uterus due to the involvement of the uterine lining. Breaking the adhesions or removing a septum does not assure pregnancy. The extent of involvement of uterine lining plays a great role. You will have to undergo treatment for genital tuberculosis which is for minimum 6 -9 months. Then if your uterine lining regenerates healthily, you have some chance of pregnancy. Sometimes, along with the involvement of uterine lining, the fallopian tubes also are involved by tuberculosis and get blocked. Even though the block is removed, the tubes become spastic, lose their motility and thus cannot propel the egg to the uterus. In such case, natural pregnancy is almost improbable. If the uterine lining is normal, then test-tube baby (in vitro fertilization and embryo transfer) may work. I feel you should plan as follows: 1. Get tuberculosis treated first. 2. Get yourself thoroughly investigated for patency and mobility of the tubes (by hysterosalpingography and/or laparoscopy) and status of uterine lining (by hysteroscopy and ultrasonography). 3. Find out whether you form eggs regularly (by ultrasonography, ovulation monitoring kit or hormonal profile) 4. Get your husband s semen examined. All these investigations can give you idea whether you can conceive or not. Of course, they have to be carried out only after your full treatment of tuberculosis is over; i.e. after 6 - 8 months. Take care please.