By RRM Academy Reviewed by Dr. Naomi Whittaker, MD, Board-Certified OBGYN, MIGS, NFPMC, FCI Updated July 27, 2026

Hysteroscopic Septoplasty is the operative hysteroscopic procedure used to incise or resect a uterine septum, converting a septate uterine cavity into a single normal cavity. It is the definitive procedure for correcting the septum itself.

The procedure is performed under general or spinal anesthesia using a hysteroscopic resectoscope or office hysteroscope with scissors or monopolar/bipolar energy. Postoperative estrogen supplementation is commonly given to support endometrial regeneration across the incision site, though this practice has not been validated by major guidelines.

Evidence from randomized trials, including the TRUST trial, remains limited and underpowered, and major recurrent pregnancy loss guidelines do not recommend hysteroscopic septoplasty as routine practice. When a uterine septum is confirmed on workup in a patient with recurrent pregnancy loss, clinicians practicing Restorative Reproductive Medicine correct it with hysteroscopic septoplasty, addressing the identified anatomic cause rather than defaulting to expectant management.

This content is for educational purposes only and does not constitute medical advice. Consult an RRM clinician or healthcare provider for guidance specific to your situation.