bicornuate bicollis uterus

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what causes a bicornuate uterus ?

Embryologic variatio

Pregnant
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.
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Dr. Serena H. Chen answered:

Is there an association between infertility and a bicornuate uterus?

Not really

Uterus
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.
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Dr. Douglas Lawson answered:

Docs can you explain what is a bicornuate uterus and its cons?

Bicornuate uterus

Cavity
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.
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Dr. David Sherer answered:

Can any other woman have a bicornuate uterus?

Yes

Women
although not common, many women can have this
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Can a bicornuate uterus cause abnormal period?

Yes

Reproductive_organs-womb
Periods can be irregular.
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What is the probability of a woman with a bicornuate uterus conceiving on both sides?

It's possible

Women
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.
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Dr. Ronald Krauser answered:

Can a bicornuate uterus cause weight gain?

No

Weight_gain
It has no effect on weight.
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Dr. Seth G. Derman answered:

On an ultrasound of my uterus and ovaries the report noted: Incidental note is made of a septate versus bicornuate uterus" what does this mean?

Abnormalities

Head
These are both birth defects of the uterus which fertility specialists see commonly. A bicornuate uterus is shaped mickey mouse's head and a septate uterus has strand of tissue dividing the cavity into 2 parts. Your gyn may want to do an evaluation or refer you to a specialist since these conditions can sometimes (not always) affect pregnancies in the future.
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Hi docs, would a bicornuate uterus make an abortion more difficult/impossible?

Depends...

Abortion
Bicornuate uteri can potentially make a surgical abortion more difficult. Whenever a uterus does not have normal anatomy an ultrasound is usually used to help complete the procedure safely.
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Why isn't it advised to have Mirena with a bicornuate uterus? After my 2ND csection the doc said my uterus could probably handle it.

Complications

Female_health
Irregularly shaped uterus such as bicornuate increases complications with IUD. IUD may fall out OR perforate the uterus. It is actually contraindicated per manufacturer for this reason. You can ask your doctor to show you the IUD model and how it fits inside the uterus to help make sense. There are definitely other good options in contraception you can explore such as implanon, nuvaring, etc
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