Is there a difference between a bicornuate uterus and a septate uterus?

In life, some women have been worrying about having children. In fact, there are many reasons for female infertility. For women, it may be caused by fallopian tube blockage and abnormal uterine development. There are many clinical cases of infertility caused by abnormal uterine development. Bicornuate uterus and septate uterus are both types of malformed uterus. Many people want to know the difference between them. Now let me analyze it for you!

Uterine septate can lead to infertility or habitual abortion. The traditional surgical method for treating uterine septate is to incise the uterine wall through the abdomen and remove the septum together with part of the uterine wall. This is very traumatic and takes a long time to recover. It requires contraception for 3-4 years before pregnancy, and cesarean section is required during delivery. There is also a risk of adhesion of the uterine cavity and pelvic cavity after surgery, which may cause secondary infertility.

The diagnosis and treatment of uterine septum by hysteroscopy is simple and quick, with short operation time, less bleeding, less trauma, and quick recovery. No contraception is required after surgery, and pregnancy can be achieved as soon as possible. The integrity of the uterine wall is maintained during the operation, and vaginal delivery is possible.

A bicornuate uterus is caused by the fusion of most of the tail ends of the paramesonephric ducts and the degeneration of the mediastinum, resulting in a single cervix and single vagina. The fundus of the uterus is not completely united, and the uterus is bicornuate in shape. A bicornuate uterus can be divided into a complete bicornuate uterus and an incomplete bicornuate uterus. An incomplete bicornuate uterus can be corrected by hysteroscopic surgery, while a complete bicornuate uterus requires laparoscopy. The classification of a bicornuate uterus still needs to be determined by laparoscopy.

A bicornuate uterus can lead to pregnancy, but sometimes the pregnancy rate is lower and the miscarriage rate is higher because the uterus is deformed. However, some people get pregnant very smoothly. It still depends on the elasticity of your uterus after pregnancy. If it can grow well with the growth of the embryo, the child can be saved. Some people will suffer miscarriage if it fails.

The fundus of a bicornuate uterus is saddle-shaped, with the two horns being more convex.

After reading the above content, I believe you have an understanding of bicornuate uterus and septate uterus. With the development of current clinical medical technology, this type of infertility caused by uterine malformation is not untreatable. The editor recommends that you maintain a positive and optimistic attitude during the conception process and cooperate with the doctor's treatment.