Hysteroscopic metroplasty of a uterine septum for primary infertility

The condition

In some women the uterus (womb) is divided into 2 halves by a wall of tissue, called a septum. This may affect fertility and increase the risk of miscarriage.

Surgical removal of the septum (metroplasty) is considered for women who are having difficulty becoming pregnant.

The procedure is traditionally done through a cut in the abdomen. NICE has looked at using hysteroscopic metroplasty as another option. Unlike traditional metroplasty, women who conceive after hysteroscopic metroplasty may be able to have their baby without caesarean section.