What to do if you have a bicornuate uterus

The uterus is an important reproductive organ in the female body. Generally, women will carefully examine their uterus during pregnancy preparation, because uterine examination can effectively infer a woman's ability to become pregnant. At the same time, the uterus is also an area prone to malformations and diseases, among which bicornuate uterus is a relatively common uterine malformation. If a woman has a bicornuate uterus, how should she deal with it?

What is a bicornuate uterus?

During embryonic development, the tail ends of the two mesonephric ducts have mostly merged and the terminal septum has been absorbed, thus forming a cervix and a vagina. However, the part equivalent to the fundus of the uterus has not fully merged, resulting in a protruding corner on each side of the uterus, which is called a bicornuate uterus. Patients with bicornuate uterus often experience excessive menstrual flow and prolonged menstrual periods, and may experience miscarriage, premature birth, or abnormal fetal position after pregnancy.

Causes

The main cause of this disease is that during the embryonic development period, the bilateral mesonephric ducts are affected and disturbed by certain factors during their evolution, and may stop developing at different stages of evolution, resulting in various uterine developmental abnormalities including a bicornuate uterus.

Clinical manifestations

Some patients with uterine malformation may not have any conscious symptoms, and there are no abnormal manifestations in menstruation, sexual life, pregnancy, and childbirth, so they may not be discovered throughout their lives, or may be discovered occasionally during a physical examination. However, the reproductive system function of some patients is affected to varying degrees, and the disease is not discovered until the onset of symptoms during sexual maturity, after marriage, during pregnancy, or during delivery.

1. Abnormal menstruation

Patients with a bicornuate uterus often experience heavy menstrual flow and prolonged menstruation.

2. Symptoms after pregnancy

After the uterus becomes pregnant, miscarriage, premature birth, or abnormal fetal position may occur.

3. Performance during and after delivery

A malformed uterus often coexists with myometrial dysplasia. During delivery, abnormal labor force and difficulty in cervical dilation may lead to difficult labor or even uterine rupture. Vaginal delivery may result in retained placenta, postpartum hemorrhage, or postpartum infection. Patients with a bicornuate uterus may experience bleeding after delivery due to the discharge of the decidua from the non-pregnant uterine horn.

treat

1. Endocrine therapy

Taking endocrine regulating drugs according to endocrine conditions, but years of experience have shown that this treatment method has no significant effect;

2. Hysteroscopic treatment

Monopolar or bipolar electrosurgical resection is used to improve the uterine cavity morphology, and laparoscopic surgery can be used for treatment at the same time.

This article provides detailed information about bicornuate uterus. As a patient with bicornuate uterus, it is best for you to know the clinical manifestations of bicornuate uterus so that you can detect whether you have a bicornuate uterus in time and take timely measures to treat it. Only active treatment can ensure that the bicornuate uterus can successfully conceive and give birth.