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Bicornuate Uterus Treatment

A bicornuate uterus refers to a uterus that forms the shape of a heart with two horns. In certain cases, it isn’t even noticed until a woman is pregnant or about to deliver. However, this condition could pose a few risks to the pregnancy. To learn more about a bicornuate uterus and how it can affect a pregnant woman's ability to carry full term, take a look below at the questions that have been answered by the Experts.

Can a woman get pregnant with a septum in their uterus?

In this situation, one of the first things to do is to clarify with the OB/GYN whether it is a “septate” uterus or a “bicornuate” uterus. If a woman is discovered to have a septated uterus, it can be repaired fairly easily using a hysteroscope which travels through the cervix and cuts the septum. However, if she actually has a bicornuate uterus, this type of surgical procedure is not carried out any more.

While the anatomy of the uterus may not always cause infertility issues, it could lead to other problems such as a high risk of pre-term labor, abnormalities during labor and c-sections attributed to having a bicornuate uterus. A septate uterus, on the other hand, could cause issues such as repetitive early miscarriages. However, once a septum has been repaired, there is usually less risks of a miscarriage.

At this stage, it is advisable to get examined by a reproductive specialist who can study the case and suggest the best course of action.

What is the survival rate for a fetus in the first trimester in a woman, aged 38, with a bicornuate uterus?

Case studies: Two miscarriages

In most cases, women who have a bicornuate uterus don't appear to have a higher risk of a miscarriage than women who are born with a normal uterus. Miscarriages occur in 20% of all pregnancies and for the most part, women who have had two miscarriages usually did so by mere coincidence. A bicornuate uterus poses more risks with regards to breech birth and pre-term labor. In this case, a late pregnancy could raise the risk of a miscarriage more than a bicornuate uterus.

What are the chances of someone getting pregnant with a bicornuate and large fibroid on the inside of the uterine wall?

When a fibroid is inside the uterus and is large in size, the risk of a miscarriage or pre-term labor is usually higher. This is why it needs to be removed before a woman attempts to conceive. By removing the fibroid, not only is there a better possibility of conception but also of a full term successful pregnancy.

Healthy pregnancies are also a common occurrence with a bicornuate uterus. While there is an increased risk of miscarriage, c-sections and early birth, most women deliver close to full term and have few difficulties.

Is it possible to develop a U-shaped uterus while pregnant?

Generally speaking, when someone refers to a U-shaped uterus, they mean a bicornuate uterus. Typically, a woman is born with a bicornuate uterus and if it is a mild form of the condition, it may become more visible once the uterus starts growing to accommodate the baby. However, this doesn’t usually affect the pregnancy although there is a chance that the baby could be breech or transverse. In many cases, a woman could have a bicornuate uterus and never be aware of it, even after having several children.

Most women who have a bicornuate uterus would like to understand the risks they face if they are trying to conceive. However, many women born with a bicornuate uterus manage to have normal pregnancies. If you have more questions about the safety of a pregnancy or have any concerns regarding a bicornuate uterus, direct them to an Expert for medical insights and information.
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