WOMENS-HEALTH Messages for July, 2000: Re: advice about septum removal

Re: advice about septum removal

From: R. Daniel Braun, MD (anonymous@obgyn.net)
Thu, 13 Jul 2000 20:31:14 -0500 (CDT)

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At Thu, 13 Jul 2000, Rebecca wrote: >
>At Wed, 12 Jul 2000, Rebecca wrote:
>>I didn't realize how many other doctors/nurses were on this forum answering questions. Can I get input from several?
>Thanks, Rebecca
>
>>Thanks for your advice yesterday about my septum.
>>I asked my OB/GYN for a referral to an RE today. He told me tricare
>>probably wouldn't pay for it, since the surgery can be performed within
>>the military facility where I am assigned. I'm an active duty Air Force
>>nurse. He said the cost of the visit would come out of my own pocket-
>>$300. This guy has done a septum removal 4 times (in residency). He
>>told me that he would have another dr help, who had done it more
>>frequently. He could not give me a number of how many times the other
>>OB/GYN had done this surgery. He said that it is similar to a fibroid
>>removal and they do 1 of those every week or two. What is a good number
>>that makes a surgeon compitent for this surgery? He didn't tell me I
>>needed the surgery. He said the decision is up to me. He did recommend
>>a lap/hysteroscopy and mentioned it would be easier to prep me with the
>>lupron a couple of months in advance to aviod repeated surgeries- in
>>case it needed definite removal. He had not reviewed my x-ray from the
>>HSG. He had only read the report. I'd appreciate your insight into all
>>the above.
>>He put the referral into the computer. Now it will go before my
>>commander to approve it, if he decides.
>>Sorry this message is so long. As always, thanks for your time and
>>advice.

Usually the indication for removal of a uterine septum is REPEATED miscarriages or preterm labors. Many patients with a septum will lose 1 or 2 pregnancies and then have several normal pregnancies. Septum removal is not necessarily a benign procedure. It can lead to intrauterine adhesions and infertility, uterine rupture in a future pregnancy, and even possibly lead to a hysterectomy for complications.

If you are a nurse, go to the medical library and start reading about uterine septa. The Air Force has a number of RE's on active duty. They may need to refer you to "The Big Willy" or to Travis for the visit, but it can be done if the local doc thinks it requires surgery.

RDB

--
R. Daniel Braun, MD FACOG  FOG

This is for educational purposes only, and is not intended to be replacement or substitute for consultation and examination by an appropriate medical professional.  Due to time constraints, private e-mails cannot be answered.

Next message: R. Daniel Braun, MD: "Re: Question about the Pill and Antibiotics"
Previous message: Cindy: "2.2cm Ovarian Cyst"
In reply to: Rebecca: "advice about septum removal"
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