{"id":35637,"date":"2025-06-18T08:00:00","date_gmt":"2025-06-18T06:00:00","guid":{"rendered":"https:\/\/www.dexeus.com\/fertility\/blog-fiv\/uter-septat-i-fertilitat-es-recomanable-operar\/"},"modified":"2026-03-23T11:36:35","modified_gmt":"2026-03-23T10:36:35","slug":"uter-septat-i-fertilitat-es-recomanable-operar","status":"publish","type":"post","link":"https:\/\/www.dexeus.com\/fertility\/ca\/blog-fiv\/uter-septat-i-fertilitat-es-recomanable-operar\/","title":{"rendered":"\u00dater septat i fertilitat: \u00e9s recomanable operar?"},"content":{"rendered":"

Encara que nom\u00e9s afecta un petit percentatge de dones, l’\u00fater septat \u00e9s l’anomalia cong\u00e8nita uterina m\u00e9s freq\u00fcent.<\/strong> Es produeix durant el desenvolupament embrionar<\/strong>i i consisteix en la formaci\u00f3 d’un env\u00e0<\/strong> que divideix l’\u00fater <\/strong>de manera parcial o total. En alguns casos aquest env\u00e0 -que hauria d’absorbir-se durant l’embriog\u00e8nesi- pot afectar tamb\u00e9 el canal cervical<\/strong> i a la vagina<\/strong>.<\/p>\n

La majoria de les dones que ho pateixen no en s\u00f3n conscients fins a la pubertat, en qu\u00e8 poden tenir regles una mica m\u00e9s doloroses. Tot i que en molts casos no provoca s\u00edmptomes. No obstant aix\u00f2, s\u00ed que pot donar lloc a complicacions en l’embar\u00e0s<\/strong> o problemes reproductius<\/strong>. Per aix\u00f2 \u00e9s molt important diagnosticar-ho al m\u00e9s aviat possible. <\/p>\n

La Dra. Mireia Arenas,<\/a> ginec\u00f2loga de Dexeus Dona, especialitzada en Obstetr\u00edcia i en cirurgia ginecol\u00f2gica, afirma que fins fa uns anys no sempre s’operava, per\u00f2 actualment se sol recomanar la cirurgia a totes les pacients que desitgen embar\u00e0s en un futur, ja que s’ha comprovat que pot donar lloc a molts problemes, com una major taxa d’infertilitat<\/strong>, avortament <\/strong>i de part prematur <\/strong>principalment. <\/p>\n

En aquest post, ens amplia la informaci\u00f3:<\/p>\n

Com es pot diagnosticar?<\/strong> En general, es pot apreciar a trav\u00e9s d’una ecografia transvaginal si el professional t\u00e9 experi\u00e8ncia. Per\u00f2 les dues t\u00e8cniques m\u00e9s \u00fatils s\u00f3n l’ecografia 3D<\/strong> i la resson\u00e0ncia magn\u00e8tica.<\/strong>
Quines solucions hi ha?<\/strong> L’\u00fanic tractament corrector \u00e9s la septopl\u00e0stia<\/strong>. Consisteix a eliminar el septe amb un procediment anomenat histerosc\u00f2pia<\/strong>. Inicialment, estava indicada en pacients amb hist\u00f2ria de p\u00e8rdua gestacional recurrent o de complicacions obst\u00e8triques, per\u00f2 actualment ho recomanem a la majoria de les pacients amb desig gestacional o que presenten s\u00edmptomes.
Quant dura la intervenci\u00f3?<\/strong> La intervenci\u00f3 quir\u00fargica sol durar uns 20-30 minuts. La recuperaci\u00f3 \u00e9s r\u00e0pida i la pacient pot tornar a la seva vida normal en un termini de 48 h.
Un cop feta l’operaci\u00f3, pots fer vida normal?<\/strong> Despr\u00e9s de l’operaci\u00f3 i durant els 10 dies posteriors cal evitar els banys, tenir relacions sexuals i la immersi\u00f3 en la mar o piscines. La pacient pot tenir p\u00e8rdues i una mica de dolor abdominal despr\u00e9s de la cirurgia, per\u00f2 \u00e9s controlable amb analg\u00e8sics.
T\u00e9 efectes secundaris?<\/strong> La principal complicaci\u00f3 que pot produir-se durant una histerosc\u00f2pia \u00e9s que es produeixi alguna petita perforaci\u00f3 en la paret uterina que en la majoria dels casos se soluciona amb antibi\u00f2tics i realitzant un control en dos mesos a la pacient, ja que ha de cicatritzar espont\u00e0niament. Tamb\u00e9 pot originar adher\u00e8ncies, que es produeixi una infecci\u00f3 i p\u00e8rdua de sang. Per\u00f2 aquestes complicacions s\u00f3n m\u00ednimes i la pacient es recupera r\u00e0pidament.
Despr\u00e9s de la intervenci\u00f3, quan cal esperar per buscar embar\u00e0s?<\/strong> Cal esperar un per\u00edode de dos mesos. En el nostre centre recomanem realitzar una ecografia ginecol\u00f2gica i una nova histerosc\u00f2pia de control passades dues regles des de la cirurgia per comprovar la bona cicatritzaci\u00f3 de l’endometri i autoritzar la cerca de gestaci\u00f3.
Quines millores reproductives s’han observat en les pacients afectades, despr\u00e9s de la cirurgia?<\/strong>
La septopl\u00e0stia histerosc\u00f2pica millora la qualitat de vida en les pacients que tenen regles doloroses o sagnat an\u00f2mal. Tamb\u00e9 millora els resultats reproductius i evita complicacions durant la gestaci\u00f3.<\/p>\n

Si vols ampliar la informaci\u00f3, consulta al teu ginec\u00f2leg\/a. En el nostre centre comptem amb experts en diagn\u00f2stic ginecol\u00f2gic per la imatge<\/strong> (DGI), cirurgia ginecol\u00f2gica<\/strong> i reproducci\u00f3 assistida<\/strong>.<\/p>\n<\/p>\n

\n
\n

TIPOLOGIA DE MALFORMACIONS UTERINES<\/strong>
Les anomalies mullerianas s\u00f3n malformacions cong\u00e8nites de l’aparell reproductor femen\u00ed. A m\u00e9s de l’\u00fater, poden afectar les trompes de Fal\u00b7lopi, el coll uter\u00ed i la part superior de la vagina.<\/p>\n

    \n
  • \u00dater septat.<\/strong> \u00c9s la malformaci\u00f3 uterina m\u00e9s freq\u00fcent, amb una prevalen\u00e7a superior al 50%. En aquesta, l’interior de l’\u00fater est\u00e0 dividit per una paret o septe que comen\u00e7a en la part superior de la cavitat uterina i es pot estendre fins al coll cervical.<\/li>\n
  • \u00dater arcuat.<\/strong> \u00c9s un \u00fater amb un contorn tamb\u00e9 normal, per\u00f2 que t\u00e9 una petita escotadura en el fons. Actualment, es considera una variant de l’\u00fater normal. En general, les dones amb \u00fater arquejat no tenen problemes de fertilitat.<\/li>\n
  • \u00dater unicorne<\/strong>. Nom\u00e9s un dels conductes de M\u00fcller es desenvolupa, per la qual cosa l’\u00fater \u00e9s de la meitat de la seva grand\u00e0ria normal i la dona nom\u00e9s t\u00e9 una trompa de Fal\u00b7lopi. En alguns casos pot existir un hemiuter rudimentari que pot estar comunicat o no amb l’\u00fater unicorne<\/li>\n
  • \u00dater bicorne. <\/strong>A causa d’una fusi\u00f3 incompleta dels conductes de M\u00fcller, l’\u00fater t\u00e9 una depressi\u00f3 en la seva part superior, per la qual cosa en comptes de tenir la forma usual de pera t\u00e9 forma de cor.<\/li>\n
  • \u00dater didelf<\/strong>. Tots dos conductes de M\u00fcller es desenvolupen per\u00f2 no s’arriben a fusionar, per aix\u00f2 la pacient t\u00e9 dues cavitats uterines, cadascuna amb el seu propi coll uter\u00ed i la seva pr\u00f2pia vagina.<\/li>\n
  • Abs\u00e8ncia d’\u00fater<\/strong>. Sovint est\u00e0 acompanyada de problemes en el desenvolupament del coll cervical i la vagina.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    Encara que nom\u00e9s afecta un petit percentatge de dones, l’\u00fater septat \u00e9s l’anomalia cong\u00e8nita uterina m\u00e9s freq\u00fcent. Es produeix durant el desenvolupament embrionari i consisteix en la formaci\u00f3 d’un env\u00e0 que divideix l’\u00fater de manera parcial o total. En alguns casos aquest env\u00e0 -que hauria d’absorbir-se durant l’embriog\u00e8nesi- pot afectar tamb\u00e9 el canal cervical i […]<\/p>\n","protected":false},"author":0,"featured_media":35638,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1,64],"tags":[],"class_list":["post-35637","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sin-categorizar","category-uncategorized-ca"],"yoast_head":"\n\u00dater septat i fertilitat: \u00e9s recomanable operar? | Dexeus Fertility<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.dexeus.com\/fertility\/ca\/blog-fiv\/uter-septat-i-fertilitat-es-recomanable-operar\/\" \/>\n<meta property=\"og:locale\" content=\"ca_ES\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00dater septat i fertilitat: \u00e9s recomanable operar? | Dexeus Fertility\" \/>\n<meta property=\"og:description\" content=\"Encara que nom\u00e9s afecta un petit percentatge de dones, l’\u00fater septat \u00e9s l’anomalia cong\u00e8nita uterina m\u00e9s freq\u00fcent. Es produeix durant el desenvolupament embrionari i consisteix en la formaci\u00f3 d’un env\u00e0 que divideix l’\u00fater de manera parcial o total. 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