Can a woman with a bicornuate uterus get pregnant with twins?

Having a twin pregnancy in a patient with a bicornuate uterus (uterus bicornis unicollis) is rare, especially if it is a spontaneous conception. Case: A 40-year-old primigravid woman conceived a twin dichorionic diamniotic pregnancy after three years of primary infertility.

Can you have a successful pregnancy with a bicornuate uterus?

Having a bicornuate uterus probably won’t affect your fertility. It could lead to problems such as miscarriage and early birth, though you may still be able to have a successful pregnancy and delivery. It’s important to surround yourself with a good medical team that will monitor your pregnancy carefully.

What does bicornuate uterus mean?

A bicornuate uterus is a uterine malformation that is produced due to impairment in the fusion of Mullerian ducts. The bicornuate uterus is a rare anomaly, but it is associated with worse reproductive outcomes; recurrent pregnancy loss and preterm labor are most common.

Can you have twins with septate uterus?

Twin pregnancy in the septate uterus was first reported by Kickham (19221, who, at that time, could find no other record in the literature. In his case, the condition was found when a Caesarean section was performed, at term, on a patient suffering from pre-eclampsia.

How rare is a bicornuate uterus?

A bicornuate uterus is another name for a heart-shaped uterus. This special type of uterus has two cavities or spaces instead of the one large cavity that’s more typical. It’s a congenital condition, which means you’re born with it, and it’s very rare. Only about 4 in 1,000 women have this particular kind of uterus.

How is the baby affected when I have a septate uterus?

Women with a septate uterus can have a normal reproductive life, but it may add complications to pregnancy. There is a higher risk for miscarriage, premature labor, or breech presentation (when the baby’s feet come out first), which usually requires a Caesarean section.

Does a septate uterus affect periods?

A septate (or partial septate) uterus can result in more endometrial lining (or surface area) of the uterus so this can mean heavier bleeding. However, it does depend on the size of the partial septum. For many women with a partial septum, there is no interference with menstruation and fertility.

Can a bicornuate uterus correct itself?

The only treatment option for a bicornuate uterus is surgery, although most women will not require surgery to correct a bicornuate uterus. Strassman’s metroplasty may be done to repair a bicornuate uterus in a woman who has a history of miscarriage.

What to do if you have a bicornuate uterus?

The only treatment for the condition is surgery to correct the shape. There are other kinds of irregularities that can also affect a woman’s womb.