๐ฉบ Bicornuate Uterus
A bicornuate uterus is a congenital uterine anomaly resulting from incomplete fusion of the Mรผllerian ducts during fetal development.
It is characterized by a deep external fundal indentation, creating the appearance of a "heart-shaped" uterus with two uterine horns.
One of the most important clinical challenges is differentiating a bicornuate uterus from a septate uterus, as management differs significantly.
Accurate diagnosis often requires:
• 3D transvaginal ultrasound
• MRI in selected cases.
What does it mean for fertility and pregnancy?
The good news is that most women with a bicornuate uterus can conceive naturally.
However, studies have shown an increased risk of:
• Miscarriage
• Preterm birth
• Malpresentation (especially breech presentation)
• Cervical insufficiency in selected patients
• Increased cesarean delivery rates.
Importantly, bicornuate uterus is more strongly associated with pregnancy-related complications than with infertility itself.
Management is usually focused on:
✔️ Accurate diagnosis
✔️ Individualized pregnancy surveillance
✔️ Appropriate obstetric care
A bicornuate uterus should not automatically be viewed as a barrier to motherhood.
With proper monitoring, many women achieve successful pregnancies and healthy outcomes.
Dr Rabab Cares
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