Hysteroscopic septum resection in India

The septum forms when the two halves of the developing uterus do not fully merge. It may be partial or complete. 3D ultrasound or MRI helps distinguish a septate uterus from other shapes, such as a bicornuate uterus, which is not treated this way.

During resection the surgeon cuts the septum with fine scissors, an electric loop or a laser until the cavity looks normal. Because it is day surgery, many international patients can combine it with an IVF trip, leaving a gap before embryo transfer.

How this approach differs

Surgery through the cervix avoids scars on the uterine wall, so a later caesarean is not automatically needed. A combined laparoscopy may be added if diagnosis is uncertain. International guidance on operating for infertility alone is not settled, so ask your specialist how they weigh it.

Who needs hysteroscopic septum resection

• Women with a septate uterus and two or more miscarriages
• Women with a septum and previous preterm birth or abnormal baby position
• Selected women with a septum before IVF, after discussion of evidence

How it is done

1. A 3D ultrasound or MRI confirms the septum and its depth.
2. Surgery is done in the first half of the cycle under general or spinal anaesthesia.
3. The hysteroscope is passed through the cervix and the uterus is filled with fluid.
4. The septum is divided carefully from its tip towards the top of the uterus.
5. The procedure usually takes under an hour; you go home the same day.
6. A repeat scan or office hysteroscopy may check the result after a few weeks.

Before you travel to India

• 3D ultrasound or MRI images and report
• Records of past miscarriages or pregnancy outcomes
• Plan to arrive in the first half of your cycle
• Allow a wait of usually one to three months before an embryo transfer

Recovery and flying home

• Mild cramps and spotting for a few days are common.
• Most women return to normal activity in one to two days.
• Flying home is usually possible within a few days.
• Your doctor may prescribe hormones to help the lining heal.

Risks

• Bleeding
• Infection
• Perforation of the uterus, which is uncommon
• Scarring inside the uterus (adhesions)
• Fluid overload from the distension fluid, monitored during surgery

Alternatives

• No surgery, with close monitoring in any pregnancy
• Combined hysteroscopy and laparoscopy when the uterine shape is unclear
• Cervical length monitoring in pregnancy for women with a history of preterm birth

Hospitals in India for hysteroscopic septum resection

• Medanta - The MedicityDelhi NCR
• Aster MedcityKochi
• Artemis HospitalDelhi NCR
• Kokilaben Dhirubhai Ambani Hospital & Medical Research InstituteMumbai
• Indraprastha Apollo HospitalsDelhi NCR
• BLK-Max Super Speciality HospitalDelhi NCR
• Apollo Multispecialty Hospitals, KolkataKolkata
• Apollo Hospitals, Greams RoadChennai
• Aster CMI HospitalBengaluru

How these hospitals compare

Specialists

• Dr Meenakshi AhujaFortis La Femme, Greater Kailash II
• Dr Rama JoshiFortis Memorial Research Institute, Gurugram
• Dr Atul Morarji GanatraFortis Hospital, Mulund
• Dr Vaishali JoshiKokilaben Dhirubhai Ambani Hospital
• Dr T S SabeehaKauvery Hospital
• Dr Meena Umachander ThiagarajanKauvery Hospital, Alwarpet

Frequently asked questions

Medically reviewed by The Curaventa Team. Last updated 2026-10-24. General information, not medical advice. Medical editorial board · Editorial policy · How we get prices