What impact does uterine malformation have on fertility?

The uterus plays an extremely important role in reproductive physiology and reproductive endocrine function. It is the target organ of ovarian hormones and has the functions of storing and transporting sperm, sperm capacitation, egg implantation, fetal development, and delivery. Uterine dysplasia and malformation may have the following adverse effects on fertility:

The malformed uterus is not easy to accommodate semen and sperm, thus affecting sperm capacitation and conception. Due to the dysplasia of the uterine myometrium and endometrium and the abnormal uterine shape and volume, it is not conducive to sperm survival, fertilized egg implantation and embryonic fetal development. The malformed uterus can cause placental attachment and developmental abnormalities.

Since uterine malformation can cause infertility, recurrent miscarriage, premature birth and malposition of the fetus, how should it be treated and handled?

1. Although uterine malformation has certain disadvantages for fertility, it does not mean that the woman cannot conceive. If the ovarian function is normal, the woman can conceive and give birth without special treatment if there is a double uterus malformation, saddle uterus, uterine septum, etc., as long as the uterine cavity volume is not too small.

2. If there is endocrine dysfunction or anovulation, a combination of Chinese and Western medicine can be used to regulate endocrine and promote ovulation. This will allow the body to have a certain level of estrogen and progesterone, thereby promoting uterine growth and facilitating conception, embryo implantation, and development.

3. For women with single cervix, double uterus, bicornuate uterus, and septate uterus who are infertile due to the small uterine cavity volume affecting embryo development, uterine correction surgery can be considered to form a single uterus and increase the volume of the single uterus to facilitate the movement and combination of sperm and egg, as well as the implantation of the fertilized egg in the uterus and the development of the embryo. However, this type of surgery may cause postoperative uterine cavity adhesions as a new factor of infertility and possible complications of postoperative pregnancy uterine scars.