Top
39
Doctor insights on: Bicornuate Uterus Pregnancy Complications

Share
Dr. Jan Lei Iwata
4 Doctors shared insights

Pregnancy (Definition)

When your due date arrives, you will be more than ready to have your baby! Most women deliver the baby somewhere between 37 and 42 weeks. According to the American College of Obstetricians and Gynecologists, only 5% of babies arrive on the exact due date. Approximately 7% of babies are not delivered by 42 weeks, and when that happens, it is referred to ...Read more


2

2
Hi we did unprotected sex for pregnancy, hav bicornuate uterus. I had v.v.v little brown bleeding before 5 days of periods. Is it periods or pregnancy?

Hi we did unprotected sex for pregnancy, hav bicornuate uterus. I had v.v.v little brown bleeding before 5 days of periods. Is it periods or pregnancy?

Likely periods: This is likely periods because if you were pregnant, periods would be suppressed for a while even if unfortunately you miscarried. It would reset your period dates. It sometimes takes a few sexual acts through multiple cycles to get pregnant. So don't worry. If you fail to conceive, see an Ob Gyn. ...Read more

3

3
I have a 46-48 menses and a bicornuate uterus. My lmc was 9/29/15. I've had all the pregnancy symptom but I started bleeding red yesterday. Pregnant?

I have a 46-48 menses and a bicornuate uterus. My lmc was 9/29/15. I've had all the pregnancy symptom but I started bleeding red yesterday. Pregnant?

Do a pregnancy test: There is no need to guess when there are accurate and sensitive tests readily available. Your risk of bleeding early in pregnancy is increased with a bicornuate uterus. ...Read more

4

4
What's the chances of having a healthy pregnancy with a bicornuate uterus, pcos and had a unilateral salphingeo opherectomy but have regular periods??

What's the chances of having a healthy pregnancy with a bicornuate uterus, pcos and had a unilateral salphingeo opherectomy but have regular periods??

Always a chance: There is always a chance that pregnancy can occur if the bicornuate uterus has no septum and the cavity is large enough to allow for implantation and maintenance of the developing pregnancy. As long as there is one good ovary and Fallopian tube "natural" conception is possible as noted by your regular periods. IF not, IVF (in vitro fertilization) may be considered. ...Read more

5

5
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?

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?

No need to change: If your physician has cleared you for moderate physical activity, you should be fine. Your bicornuate uterus should not place you at increased risk of pregnancy loss in your first trimester, but be sure to notify your physician if you note any changes. ...Read more

7

7
Can you tell me about the septate/bicornuate uterus?

Can you tell me about the septate/bicornuate uterus?

U. is div'd internal: It is an anatomic variant in which the uterus is divided internally by a tissue septum ...Read more

8

8
Docs can you explain what is a bicornuate uterus and its cons?

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

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

9

9
Is there an association between infertility and a bicornuate uterus?

Is there an association between infertility and a bicornuate uterus?

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

10

10
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?

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: 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. ...Read more

14

14
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

15

15
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.

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 more

17

17
For 2 weeks I have had a lot of nausea, even thrown up and dry heaved. I've had mirena (levonorgestrel) for 1 year but also have a bicornuate uterus. What is the cause?

For 2 weeks I have had a lot of nausea, even thrown up and dry heaved. I've had mirena (levonorgestrel) for 1 year but also have a bicornuate uterus. What is the cause?

Different possiblity: First, Mirena (levonorgestrel) is usually not recommended for uteruses that are physcially abnormal like large distorting fibroids or bicornuate uterus.

Always test for pregnancy. If negative, then the Mirena (levonorgestrel) may not be the issue. Gastritis, viral inection, ulcers are a few thoughts. I would see my doctor for evaluation since it has been going on for 2 weeks. ...Read more

18

18
What is a septate/bicornuate uterus?

What is a septate/bicornuate uterus?

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

19

19
If u have a bicornuate uterus is it hereditary?

If u have a bicornuate uterus is it hereditary?

No: A bicornuate uterus is a developmental defect that happens as the uterus is being formed. It is not a genetic defect and would not be inherited. ...Read more

20

20
Could you tell me what is the septate/bicornuate uterus?

See below: It's a uterus that has an extra piece of tissue that walls off the uterus into 2 sections. ...Read more

21

21
Could a bicornuate uterus make an abortion more difficult/impossible?

Could a bicornuate uterus make an abortion more difficult/impossible?

Not necessarily: Any abnormal anatomy could potentially make the procedure more difficult. It all depends on the expertise of the provider. ...Read more

22

22
Hi docs, would a bicornuate uterus make an abortion more difficult/impossible?

Hi docs, would a bicornuate uterus make an abortion more difficult/impossible?

Depends...: 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. ...Read more

23

23
What is the probability of a woman with a bicornuate uterus conceiving on both sides?

What is the probability of a woman with a bicornuate uterus conceiving on both sides?

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

24

24
Can bicornuate uterus be a reason for irregular shaped gestational sac if hCG and yolk are good?

A bicornuate: Uterus can have different degrees. I do not think that this should affect the shape of the sac. In fact, if there is a yolk sac and the bhcg is going up I would trynot to worry too much about sac shape. Not much u can do anyway and those ultrasound bills can add up. Gd luc. ...Read more

25

25
I'm in a lot of localized pain, I was diagnosed with an enlarged uterus, a bicornuate uterus, and some ovarian cysts. Pain is extreme. ER? or primary?

I'm in a lot of localized pain, I was diagnosed with an enlarged uterus, a bicornuate uterus, and some ovarian cysts. Pain is extreme. ER? or primary?

Depends: None of the items you listed necessarily warrant an emergent evaluation, so your primary doctor should be able to guide you as to what to do next. However, if the pain is unbearable, go to the ER. ...Read more

26

26
Can a bicornuate uterus be a cause of dysmenorrhea? I've always had severe cramps, got checked out & the only thing they found was bicornuate uterus.

Can a bicornuate uterus be a cause of dysmenorrhea? I've always had severe cramps, got checked out & the only thing they found was bicornuate uterus.

Possibly: A bicornuate uterus, is a partially split uterus that has formed in the shape of a heart, with two “horns” or areas at the top of the uterus. Like any abnormality in the shape of the uterus, bicornuate uterus can cause dysmenorrhea. More importantly, bicornuate uterus can cause recurrent pregnancy loss, preterm delivery, or fetal growth retardation, but successful term pregnancy is possible. ...Read more

27

27
What causes a bicornuate uterus?

What causes a bicornuate 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 more

28

28
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

29

29
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?

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 more

30

30
Why isn't it advised to have mirena (levonorgestrel) with a bicornuate uterus? After my 2nd csection the doc said my uterus could probably handle it.

Complications: 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. ...Read more

31

31
I recently miscarried at 7 weeks. Diagnosed with IGA and possibly IGG deficiency. Also have bicornuate uterus. Can IGG and IGA def. Cause miscarriage?

I recently miscarried at 7 weeks. Diagnosed with IGA and possibly IGG deficiency. Also have bicornuate uterus. Can IGG and IGA def. Cause miscarriage?

Clarification: See your doctor to go over the test results to get clarification. It is unclear here if your doctor was testing IgG and IgA as part of an antiphospholipid antibody workup for miscarriage or if you are referring to the genetic disorder of the immune system referred to as IgA deficiency. The impact on pregnancy depends on the diagnosis. ...Read more

32

32
Doctor I sita an indian married women since 10 years I have 5 missed abortions I was diagnosed found bicornuate uterus can I give birth to a child?

Hard to say: The irregularity in the structure of your uterus may make pregnancy difficult. I saw a baby last week born to a woman with the same problem, so it does happen. Surgical removal of the septum may be possible if there is an experienced surgeon in your area and that might improve your chances. Talk with your doc. ...Read more

33

33
I got my mirena (levonorgestrel) removed less than 2 days ago, it was not a normal removal, there was a lot of pain involved (bicornuate uterus). I was told I shouldn't bleed like a period. And I am. Call doc? Or er?

I got my mirena (levonorgestrel) removed less than 2 days ago, it was not a normal removal, there was a lot of pain involved (bicornuate uterus). I was told I shouldn't bleed like a period. And I am. Call doc? Or er?

Call your doctor: Call the doctor who removed it, your pcp or your gyn. Go to the er if you are bleeding heavily (needing many pads in a short period of time) or if you get dizzy/lightheaded, or don't feel well in general. ...Read more

35

35
My 20yr daughter has a bicornuate uterus, as her mum did I pass this on to her or did it occur due to something I did while I was pregnant with her?

It depends: There are some GYN malformation conditions that are genetically inherited or substance abuse induced. However, generally, Uterine didelphys or other associated conditions are a product of a "hiccup" in the genital formation process. Your daughter should undergo testing by her GYN to determine if the uterine malformation is the only one noted as they usually involve multiple pelvic organs. ...Read more

36

36
Its is posible that I can get pregnant even if I have bicornuate uterus? What is the best advice you can give to get pregnant in my situation. Thank

Its is posible that I can get pregnant even if I have bicornuate uterus? What is the best advice you can give to get pregnant in my situation. Thank

Yes: It is possible to get pregnant with bicornuate uterus. Just be sexually active in your fertile phase. Take your prenatal vitamins. Good Luck. ...Read more

37

37
I'm trying to concieve with a bicornuate uterus. What are my chances of getting pregnant?

I'm trying to concieve with a bicornuate uterus. What are my chances of getting pregnant?

Good but...: A bicornuate uterus does not typically keep a woman from getting pregnant; however, it can significantly increase the risks of miscarriage and premature birth. You should discuss these risks and what you may be able to do to minimize them with your physician before getting pregnant. ...Read more

39

39
I have bicornuate uterus and I am 2 weeks late for my period and all tests are negative. Is it possible that I am pregnant?

I have bicornuate uterus and I am 2 weeks late for my period and all tests are negative. Is it possible that I am pregnant?

Probably not: Pregnancy tests, even over-the-counter ones, are very accurate. Generally, if you conceived more than 14 days ago, the pregnancy test will be positive. There is a chance that you conceived too recently for the test to pick up the low levels of hormone in your system. If you had intercourse less than two weeks ago, then you will need to repeat the test when it has been at least two weeks. ...Read more

Pregnancy Complications (Definition)

There are a host of potential complications in a pregnancy that range from bleeding to early labor and from medical issues like diabetes and high blood pressure to findings on ultrasound or blood tests that ...Read more


Uterus (Definition)

The uterus is a muscular organ in a woman's pelvis where the the fertilized egg attaches ...Read more