A septate uterus can be corrected by metroplasty surgery. A hysteroscope is now used to do the surgery. The hysteroscopic surgery permits therapy to be administered within the uterus without the need for an external abdominal incision. This type of surgery usually is done in a hospital setting with general anesthesia. Women who have this condition are also at risk of developing uterine cancers. Follow-up care is necessary after septate uterus repair because these women are still at risk for pregnancy complications such as miscarriage or premature delivery. A woman with a septate uterus may not realize she has this condition until she experiences problems getting pregnant or carrying her baby to term. In this case, a transvaginal ultrasound can show the presence of two separate uteruses with each having its own cervix and fallopian tubes. A septate uterus is most commonly seen in women who experience recurrent miscarriages or who deliver children prematurely. However, this condition can also occur in women who have no history of reproductive loss. These women may discover that they have a septate uterus during a routine prenatal visit. The diagnosis can be confirmed by performing a vaginal ultrasound. Women with a septate uterus should discuss treatment options with their doctor. Depending on the patient's age, medical conditions, and other factors, different approaches may be recommended.