Delivery after hysteroscopic metroplasty in a woman with complete septate uterus with double cervix: a case report

A 37-year-old woman, gravida 1, para 0, was referred to our hospital because of uterine malformation.Pelvic examination revealed a longitudinal vaginal septum and doubled uterine cervix.Magnetic resonance imaging revealed no external fundal indentation, a complete uterine septum, and cervical duplication.We performed vaginal septectomy and hysteroscopic metroplasty.After the resection of the vaginal septum, we inserted the Hegar dilator into the right cervical os and pushed it against the wall to reveal the position of the septum.Next, we incised the corporal portion of the septate uterus by using a loop-type monopoles electrode.We placed the intrauterine device (IUD; FD-1 Fuji Latex Co., Ltd.) in the uterine cavity.We removed the IUD after two cycles of Kaufmann therapy.