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Can uterine septum cause recurrent miscarriage?

How the structures involved in Recurrent Miscarriage differ from normal
Illustration: How the structures involved in Recurrent Miscarriage differ from normal

Short answer

Yes. A uterine septum can contribute to recurrent miscarriage, although pregnancy losses may have other causes.

This answers one question. It is not a diagnosis and does not replace an assessment by a licensed doctor.

At a glance

What it is
A band of tissue that partly divides the uterine cavity.
Possible evaluation
Specialist ultrasound, with further imaging or hysteroscopy when needed.
Management
Individual review; hysteroscopic treatment may be discussed for selected patients.

Can a uterine septum cause recurrent miscarriage?

A septum is a band of tissue that partly divides the inside of the uterus. Its shape and blood supply may make implantation or development more difficult in some pregnancies. Having a septum does not mean every pregnancy will end in miscarriage.

How the finding is assessed

The shape of the uterine cavity can be examined with ultrasound, sometimes using a three-dimensional view or fluid placed inside the uterus. MRI or hysteroscopy may be considered when the anatomy remains unclear. The clinician also needs to distinguish a septum from other uterine shapes because management differs.

Recurrent miscarriage can also be associated with chromosome changes, antiphospholipid syndrome, thyroid problems and other factors. A septum found on a scan therefore needs to be interpreted alongside your pregnancy history and any other test results.

What to do next

Arrange a review with a gynaecologist or recurrent pregnancy loss service. Bring previous scan reports, pregnancy dates and any test results. The team may confirm the uterine shape and discuss whether hysteroscopic surgery to divide the septum is suitable for your particular anatomy and history.

Surgery is not automatically required. Ask about the expected benefit, risks such as bleeding, infection or injury to the uterus, recovery, and when it would be reasonable to try for pregnancy afterward. Pre-pregnancy care should also address medicines, long-term conditions and folic acid.

When to seek urgent care

During pregnancy, seek prompt medical advice for vaginal bleeding or persistent pelvic pain. Go to emergency care for heavy bleeding, severe or one-sided abdominal pain, shoulder-tip pain, fainting, marked dizziness or feeling very unwell. These symptoms need assessment for pregnancy complications regardless of whether a septum is present.

Questions for your appointment

Ask: How certain is the diagnosis and how large is the septum? Could another uterine shape explain the scan? What other causes of recurrent miscarriage should be assessed? Would hysteroscopic treatment be appropriate for me, and how would follow-up be arranged?

Find care

General Clinics & Polyclinics in Abu Dhabi

That answer is general. If you want it applied to your own case, these are licensed general clinics & polyclinics listed in Abu Dhabi.

City
See every listing in Abu Dhabi

Ordered by verification status and how complete each clinic's public record is, then alphabetically. This is a directory listing, not a ranking — Zavis does not rate or recommend providers.

A factual listing drawn from the DHA, DOH and MOHAP licence registers. It is not a referral, an endorsement, or advice that any of these providers is right for you.

Questions people ask

Does a uterine septum always cause miscarriage?

No. Some people with a septum have an uncomplicated pregnancy, while others experience pregnancy loss or other pregnancy complications.

Can a uterine septum be treated?

It can sometimes be divided through the cervix using hysteroscopic surgery. Suitability depends on the confirmed anatomy, pregnancy history and discussion of benefits and risks.

Will removing a septum guarantee a successful pregnancy?

No treatment can promise a particular pregnancy outcome. Your clinician can explain how your uterine anatomy and any other identified factors affect the decision.

Medical disclaimer. This page is general health information, not medical advice, and it cannot diagnose you. Always consult a licensed healthcare provider about your own symptoms and treatment. In an emergency in the UAE, call 998 for an ambulance.