The bicornuate uterus also called bicornuate uterus is a congenital malformation in the uterus that is characterized by containing a membrane that divides the uterus in two. This membrane can be small or considered complete by dividing the uterus completely, becoming two.
This malformation occurs in the uterus still in its process of development and formation of fetal organs, still inside the mother’s belly. The uterus considered normal has the shape of an upside-down pear and measures around 7.5 cm X 5.0 cm and 2.5 cm thick, however some women have the uterus in different shapes. There are many cases that women spend their whole lives without discovering the fact, in others they even had children without knowing that they have a certain anomaly. Therefore, the bicornuate uterus does not necessarily preclude pregnancy, it can offer some difficulty even if holding the baby until 9 months of gestation, but there are cases that it is possible to have children, in fact, the vast majority of cases.
The bicornuate uterus or the most popular name, uterus with two horns due to its divided appearance, is one of the most common uterine abnormalities. Its appearance is that of a heart with an upper slit which reduces the uterine space and the growth of a developing baby, so there are great risks of premature birth in this case. Due to the overload of the uterus, the cervix may start to open very early and a cerclage is needed to hold the baby. The bicornuate uterus can have degrees. The cracking can be more or less invasive. It is also possible that the divided parts have different sizes, that is to say, they are not always divided in half with 100% accuracy.
Is There Treatment For Bicorno Uterus?
For those who are trying to conceive, a series of tests can be ordered by your gynecologist to detect the real problem and confirm the abnormality in the uterus, including a simple ultrasound to determine the problem . But specific tests like hysterosalpingography, which is an x-ray scan using contrast, can more accurately determine the problem. It is also possible to determine in which part of the uterus it would be more viable for a pregnancy to happen and what are the risks of miscarriage if the embryo lodges in the smaller part of the uterus.
Another form of treatment is through laparoscopy , which through a minimal cut in the abdominal cavity is inserted an instrument with the name laparoscope that can transmit the image to a monitor. During the procedure it is possible for the doctor to already remove a septum that is preventing the passage. The removal of the septum will leave the uterus looking normal, so the chances of having an abortion are much less.
Treatment for bicornuate uterus is only indicated for surgery when it makes pregnancy impossible or difficult. However, as they are isolated cases, the doctor will do a thorough analysis to know which case should be given more attention, or those who will not always need surgery. I’ve seen several women with bicornuate uterus being mothers without any problem , just a little luck and a lot of faith.
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.