Ms. Sello's journey to motherhood was challenging. She suffered from blocked fallopian tubes, preventing natural conception, and a uterine septum, a congenital abnormality that reduces space and nutrient supply for a fetus. She underwent laparoscopic surgery to remove both fallopian tubes and the uterine septum. However, her condition remained complex and difficult to resolve completely. Doctors initially advised against in vitro fertilization due to a low success rate and increased risks of poor fetal development and miscarriage, suggesting surrogacy as an alternative.
Last year, Ms. Sello and her husband sought help at the Center for Reproductive Assistance, Tam Anh General Hospital TP HCM (IVF Tam Anh TP HCM). An ultrasound revealed an incomplete uterine septum. Doctor Le Xuan Nguyen consulted with Master, Doctor Giang Huynh Nhu, Director of IVF Tam Anh TP HCM, and Doctor Nguyen Ba My Nhi, Director of the Obstetrics and Gynecology Center. The medical team determined that despite a narrower-than-normal uterus, there was still sufficient space for a fetus to develop, allowing Ms. Sello to carry her own child.
Following this assessment, Ms. Sello underwent ovarian stimulation, leading to the retrieval of 12 mature oocytes. These were successfully fertilized with her husband's sperm through in vitro fertilization, resulting in three good quality day-5 embryos and four good quality day-6 embryos. Doctor Nguyen carefully selected one day-5 embryo and transferred it to a uterine position least affected by the septum. The transfer was successful, leading to a healthy pregnancy. Ms. Sello received close medical monitoring throughout her pregnancy and gave birth to a healthy baby boy weighing 3 kg. The remaining embryos were cryopreserved, offering the couple future opportunities to expand their family.
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Doctor Nguyen performing embryo transfer, helping the patient conceive. Photo: Nguyen Thang |
Doctor Nguyen performing embryo transfer, helping the patient conceive. Photo: Nguyen Thang
Doctor Nguyen highlighted that uterine abnormalities are a common cause of infertility in women. These frequently include: uterine polyps, fibroids, cysts, adenomyosis, and complete or incomplete septa. Treatment options typically involve either surgery or medication.
Addressing uterine septum specifically, Doctor Nguyen noted that repeated surgeries carry risks such as invasion into healthy tissue and endometrial damage. Complete recovery can take 6 months to one year, and there is a possibility of uterine adhesions developing after surgery.
Hoai Thuong
