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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Bicornuate Uterus. Will There Be Any Problem In Getting Pregnant And What Are The Required Treatments?

hi,i was 23 years old.and i recently known that i have a bicornuate uterus.i was very afraid and i was not yet pregnant.please suggest me is there any problems in pregnancy? and please let me know the treatement for this and if possible precautions.
Tue, 3 Dec 2013
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Anesthesiologist,  's  Response
Hello,
Your uterus is heart shaped instead of normal pear shape.
It is usual to have one in 200 women have bicornuate uterus.
You are able to conceive but you may face any of following problems
1. Cervical incompetance
2. Spontaneous abortion
3. Premature labour
4. Retained placenta
5. Breech presentation

But several studies shows that 60 % of women with bicornuate uterus deliver normal live baby without any major complications.

You need following investigations to be done
1. Pelvic exam – two horns can occasionally be palpated.
2. Sonogram - A bicornuate uterus can sometimes be diagnosed by ultrasound
3. Laparoscopy – provides information on the exterior shape of the uterus.
4. Hysteroscopy – provides information on the interior configuration of the uterus.
At present following surgeries can be done,
1. Metroplasty surgery - to create a large uterine cavity with minimal destruction of uterine tissue is the treatment of choice.
2. Cervical cerclage - improved the fetal survival rate in selected patients.

Both metroplasty and a cervical cerclage may be prescribed.

Hope this helps.
Please write back for further queries.
Wishing you good health.
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Have Bicornuate Uterus. Will There Be Any Problem In Getting Pregnant And What Are The Required Treatments?

Hello, Your uterus is heart shaped instead of normal pear shape. It is usual to have one in 200 women have bicornuate uterus. You are able to conceive but you may face any of following problems 1. Cervical incompetance 2. Spontaneous abortion 3. Premature labour 4. Retained placenta 5. Breech presentation But several studies shows that 60 % of women with bicornuate uterus deliver normal live baby without any major complications. You need following investigations to be done 1. Pelvic exam – two horns can occasionally be palpated. 2. Sonogram - A bicornuate uterus can sometimes be diagnosed by ultrasound 3. Laparoscopy – provides information on the exterior shape of the uterus. 4. Hysteroscopy – provides information on the interior configuration of the uterus. At present following surgeries can be done, 1. Metroplasty surgery - to create a large uterine cavity with minimal destruction of uterine tissue is the treatment of choice. 2. Cervical cerclage - improved the fetal survival rate in selected patients. Both metroplasty and a cervical cerclage may be prescribed. Hope this helps. Please write back for further queries. Wishing you good health.