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Bicornuate Uterus Pregnancy

3 min read

Did you know that a bicornuate uterus means ‘horn’ and has been derived from a Latin word. If you have a bicornuate uterus, it means that you have a heart-shaped uterus that looks like it has horns and it’s usually divided by a septum. So basically, it has two chambers instead of one .But having a bicornuate uterus does not mean that your uterus is split; it is still a complete uterus, which actually did not form properly.
But the degree of severity or malformation may vary in different women. Someone could have a partial bicornuate uterus while others could have a full bicornuate uterus. In case of a partial bicornuate, just the top portion of your uterus dips into the chamber, whereas in a full bicornuate, the complete uterus is folded and creates two chambers. The doctors find the degree of this malformation as this is very important if you are planning to get pregnant.

Symptoms of Bicornuate Uterus

Although some symptoms may be experienced in this case, but the fact is that only a little percentage of women have any symptoms to show this malformation. If at all there are any symptoms, they could be:

  • Pain in the abdomen and discomfort
  • Irregular, painful or very heavy periods
  • Pain when you are ovulating
  • Conception problems
  • Even if you conceive, it’s difficult for you to carry on the pregnancy

So if you are experiencing any of the above-mentioned symptoms, you must consult your gynecologist immediately. Your doctor would do an ultrasound to see if you have a bicornuate uterus and how severe it is. Then accordingly, she will treat your high-risk pregnancy.

What all should you know about Bicornuate Uterus?

It is a known fact that anyone with a bicornuate uterus would have more chances for a difficult pregnancy. The shape of the uterus in this case isn’t ideal for pregnancy and childbirth. At times, you might get pregnant, but statistics say that more than 50 percent of such women would have a miscarriage. If you fortunately carry on, then a pre-term birth is a big possibility. The odd heart shape of the uterus needs more progesterone for the wall or uterine lining to thicken. Sometimes, the doctor would give you shots of progesterone so that you can carry on till full-term. Adding progesterone lowers the risk of you having a pre-term delivery. Many doctors also recommend going for a C-Section instead of waiting for a natural birth so that complications can be avoided.

Bicornuate Uterus Treatment

A bicornuate uterus is usually found out in an ultrasound or if you have miscarriages again and again. But there are other disorders that could show similar symptoms, hence, your doctor would need to perform a thorough exam to ascertain what it is. After the examination to find out that you really have a bicornuate uterus, there are various medications and treatments available. The doctor would also mostly add progesterone if you are already pregnant. But in case you do not want to get pregnant or don’t plan to conceive, then there is no problem to your health. You can continue to live a very normal life. Women who want to conceive might need to get a reconstructive surgery done. It is called Metroplasty where an incision is done to separate the uterus cavity. Another vertical incision is made using a layered closure. The appropriate treatment will always depend on an individual situation and severity. After a successful surgical procedure, you will be advised to wait at least three months before you start trying to conceive. This is because your body needs time to heal and pregnancy could cause internal bleeding.

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