🩺 Unicornuate Uterus

A unicornuate uterus is a rare congenital Müllerian anomaly that develops when only one Müllerian duct forms normally.

As a result, the uterus is smaller than usual and typically has a single functional uterine horn.

In some women, a rudimentary horn may also be present.

Why does it matter?

Although many women with a unicornuate uterus can conceive naturally, this condition is associated with increased reproductive and obstetric risks, including:

• Early pregnancy loss

• Second-trimester pregnancy loss

• Preterm birth

• Malpresentation

• Fetal growth restriction

• Increased cesarean delivery rates

One important consideration is the presence of a rudimentary horn.

A non-communicating rudimentary horn may be associated with:

• Pelvic pain

• Endometriosis

• Rare but potentially dangerous rudimentary horn pregnancy

Accurate diagnosis is essential.

3D transvaginal ultrasound and MRI can help define uterine anatomy and identify associated anomalies.

Women with a unicornuate uterus may also have associated renal tract anomalies, making further evaluation appropriate in selected cases.

With proper surveillance and individualized obstetric care, many women achieve successful pregnancies and healthy outcomes.

Dr Rabab Cares 🌷

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