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Bicornuate Bicollis Uterus
Embryologic variatio: Formation of organ systems of the embryo complete by end of third month; at a critical point, male or female sex organs differentiate. The mullerian ducts will resorb entirely in the male, and form the uterus in female. But top of these ducts may not fuse and become double-headed (bicorneate). In young women this is often not known until pregnant, and they would be considered high risk for probs. ...Read moreSee 1 more doctor answer
Uterine Division: During embryonic development, the uterus forms as 2 tubes fuse together. The area where they join is supposed to go away and leave an empty uterine cavity. Sometimes this doesn't happen normally and the uterus is divided into two sides. There are many ways this can happen. There can be a right and left uterus (bicornuate) or just a partial division down the middle of the uterus (septum). ...Read more
Bicornuate uterus: During development the uterus starts as two horns that come together and eventually form one cavity. If this doesn't happen completely you can have a bicornuate uterus. Many women have no issues with this, but it can increase miscarriage rates and if one horn is small (rudimentary), it can increase pregnancy complications as well. ...Read more
Not necessarily: Any abnormal anatomy could potentially make the procedure more difficult. It all depends on the expertise of the provider. ...Read more
Why did my dr tell me i might be a candidate to have a septum removed when they diagnosed me with a bicornuate uterus?
Big difference: There is a big difference between a septum and a bicornuate uterus. . A septum is a divider of your uterus but the outside of the uterus is normal. It can be excised. But, i would need to know how deep does the septum go down. If it is a little it might not be warranted. A consult with a reproductive endocrinologist might clarify the question. ...Read more
IUD placed and later an US found I had a bicornuate uterus. If the IUD still causes pain due to it being shifted will insurance cover removal of IUD?
Depends on Policy: Medical insurance policies are differ regarding coverage for women's or reproductive services. You need to check with your insurance carrier and if needed have your MD write a supplemental note + the ICD 10 codes that the IUD was removed for a specific medical reason if a claim is filed. ...Read moreSee 1 more doctor answer
It's possible: If you conceive and have twins, one in each side (horn) of the bicornuate uterus, you should consult a physician specializing in high risk obstetrics, a field known as maternal fetal medicine or perinatology. At age 48, there are additional risks if you conceive and you should be counselled and followed carefully, if it is you and not a family member. ...Read more
Told I have a bicornuate uterus at my 11w2d ultrasound, but dr didn't want to discuss until my 18w u/s. Should I decrease my 50min 5x/wk lap swims?
Not really: A bicornuate uterus can increase your risk for preterm delivery, but is usually not associated with infertility. The problem is that this is often misdiagnosed and confused with a septate uterus which can increase the risk for miscarriage. It is important to see a specialist - a board certified or eligible reproductive endocrinologist to confirm the diagnosis. ...Read more
No: No, the defect is present at birth and does not change. ...Read more
My 14 year old daughter just found out she has a bicornuate uterus. Will it cave in more over time?
Double horn: The bicornuate uterus is one of several possible defects in the normal formation of the uterus. Simply stated, a normal vagina is attached to a uterus with 2 chambers (r/l) with a silhouette more like a heart than the normal pear shape. The central division maintains the same proportions as the rest of the structure with growth. Some can have normal pregnancies in either horn, some do not. ...Read more
What is the difference between uterus didelphys and bicornuate? Can you tell the difference by a ultrasound and how?
MRI - Gold Standard: MRI is the "gold standard" for categorizing uterine anomalies due to its 98-100% accuracy. Uterine Didelphys has separate divergent uterine horns with uniformly separate endometrial cavities, two separate cervices and often a vaginal septum. Bicornuate uterus has two widely devergent (>75%) uterine horns and a thick septum composed of myometrium. ...Read more
I just got my mirena (levonorgestrel) out and was told that during removal it wouldn't hurt. I screamed it hurt so bad! what would cause it to hurt like that? I have a bicornuate uterus.
Cramps.: Your uterine anomaly could certainly explain the unusual pain from iud removal. Preparation with Arthrotec can prevent such discomfort. Cervical manipulation and uterine contractions can cause cramps that should gradually get better and respond to nsaids such as Motrin tylenol (acetaminophen) or aleve. ...Read moreSee 1 more doctor answer
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