Uterine Structural Pathology

Uterine Structural Pathology: Diagnosis and Treatment at Michigan Fertility Institute

Understanding Uterine Structural Pathology and Its Impact on Fertility

Uterine structural pathology refers to abnormalities or conditions affecting the uterus that can potentially interfere with fertility and the ability to carry a pregnancy to term. At Michigan Fertility Institute, we specialize in diagnosing and treating uterine conditions that may impact embryo implantation, pregnancy, and overall reproductive health. Our experienced team provides comprehensive care to help you overcome these challenges and achieve your dream of parenthood.

What is Uterine Structural Pathology?

Uterine structural pathologies include a range of conditions that affect the shape, structure, and functionality of the uterus. Common issues include:

• Fibroids: Benign tumors that grow in or around the uterus and can interfere with embryo implantation or cause miscarriage.
  
• Polyps: Growths on the inner lining of the uterus that can affect fertility and may need to be removed.
  
• Septate uterus: A congenital condition where the uterus is divided by a fibrous or muscular septum, which can prevent proper implantation and increase the risk of miscarriage.
  
• Asherman’s syndrome: Scarring inside the uterus, often caused by surgical procedures, which can cause infertility or recurrent miscarriage.
  
• Adenomyosis: A condition where the endometrial tissue grows into the muscle layer of the uterus, which can affect implantation and cause chronic pelvic pain.
  

These conditions can be asymptomatic, or they may present with symptoms such as heavy menstrual bleeding, pelvic pain, miscarriage, or difficulty conceiving.

What Are Congenital Uterine Anomalies?

Congenital uterine anomalies are structural abnormalities present at birth that affect the shape and structure of the uterus. These conditions can interfere with fertility, pregnancy, and overall reproductive health. Common congenital uterine anomalies include:

• Septate uterus: A condition where a fibrous or muscular septum divides the uterus, potentially preventing proper implantation and increasing the risk of miscarriage.
  
• Unicornuate uterus: A rare condition where the uterus develops as a single side or half of a normal uterus, which can lead to fertility challenges and an increased risk of pregnancy complications.
  
• Bicornuate uterus: A uterus that is heart-shaped, with two cavities, which can cause problems with implantation, miscarriage, and preterm labor.
  
• Didelphys uterus: A condition where there are two separate uteri, each with its own cervix, which can result in reproductive issues like miscarriage and preterm birth.
  
• Arcuate uterus: A mild indentation in the uterine cavity, which may not significantly impact fertility, but could contribute to an increased risk of miscarriage.
  

Congenital anomalies may be asymptomatic or may lead to symptoms such as difficulty conceiving, recurrent miscarriage, or pregnancy complications. Early diagnosis can help identify these conditions, and in some cases, treatment options may improve the chances of a successful pregnancy.

Diagnosing Uterine Structural Pathologies

At Michigan Fertility Institute, our goal is to accurately diagnose and address any uterine structural issues that may be affecting your fertility. Diagnostic procedures may include:

• Ultrasound imaging to detect fibroids or structural abnormalities in the uterus
  
• Sonohystogram (SIS) or Hysterosalpingography (HSG) to evaluate the uterine cavity (i.e. polyps, adhesions, fibroids) and fallopian tubes
  
• Hysteroscopy: A minimally invasive procedure where a small camera is inserted into the uterus to directly view and evaluate any structural abnormalities
  
• Magnetic resonance imaging (MRI) for a more detailed view of the uterus in complex cases
  

Treatment Options for Uterine Structural Pathologies

Once a uterine structural pathology is diagnosed, we develop a personalized treatment plan based on the specific condition and your fertility goals. Treatment options may include:

• Hysteroscopic surgery to remove fibroids, polyps, or correct a septate uterus and optimize the uterine environment for implantation and improve fertility outcomes
  
• Assisted reproductive technologies (ART): In cases where structural issues affect fertility, IVF may be recommended to bypass certain anatomical challenges.
  

Comprehensive Care and Support

At Michigan Fertility Institute, we provide not only expert medical care but also emotional and psychological support for individuals dealing with uterine structural pathologies. We understand that fertility challenges can be overwhelming, and we are here to offer guidance and compassion throughout your journey.