A 34-year-old woman presented with primary infertility  and was diagnosed with a septate uterus , a known cause of infertility and recurrent pregnancy loss. The case was high-risk  due to multiple co-morbidities: Epilepsy Obesity Hypothyroidism These conditions significantly increased the anesthetic and surgical risk . Diagnosis Septate uterus  causing infertility High-risk surgical profile due to neurological, endocrine, and metabolic conditions Procedure: Laparoscopy & Hyst

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