They send us a question through our Answers section. For those who do not know, in it you can leave your questions, as well as answer and vote the answers of the rest of the community. One of our readers, soraalegasa, He tells us that he has a bicorne uterus, and although she has had a pregnancy and is the mother of a 16-month-old baby, she worries if there could be any risk in seeking a new pregnancy.
Your question can help other women who suffer from the same anomaly, so we'll talk in depth about what is the bicorne uterus.
Types of bicorne uterus
The bicorne uterus is the most frequent of the congenital malformations of the uterine cavity.
As you know, the normal uterus is pear shaped, but the bicorne uterus presents a slit at the top, which causes the uterus to have heart shape.
Its lower part (or caudal part) is normal, but the upper part is divided in two. Hence his name, as it seems a uterus with two horns.
This is due to an incomplete fusion of the Müllerian ducts, whose development is completed around week 16 of embryonic development.
The cleft in the upper part may be more or less deep, but there is always some degree of communication between the two horns.
It can be partial, covering a third, half or two thirds of the uterine cavity, or complete reaching the cervix and doubling it, called Bicorne bicollis uterus.
Can I get pregnant if I have a bicorne uterus?
The answer to this question depends largely on the degree of separation that the uterus presents. The bicorne uterus does not imply infertility, most women with this malformation manage to be mothers. In fact, the reader who has asked us is a mother, so her malformation did not prevent her from conceiving a baby and giving birth to her term.
There are even women who suffer from this anomaly but do not know it, since it does not affect their fertility or carry out a healthy pregnancy.
Not all bicorne uteri are the same. Depending on the severity of the malformation, it will depend on the place available to the baby to develop properly inside the uterus. The complication that it entails is a high risk of preterm birth, since if the malformation is accentuated, the baby will not have room to grow and there will be a delivery before term.
In addition to premature births, this anomaly is also associated with spontaneous abortions and complications in pregnancy and in labor. It is considered a high-risk pregnancy, therefore women with bicorne uterus require special attention during pregnancy, so it is very important that you go without fail to all revisions.
In response to our reader
So, in response to the question that made us soraalegasa in our Answers section:
If you had a normal previous pregnancy that has come to an end you could say that you can perfectly have it again. The complications that you have told us that you have suffered, such as contractions since week 20 and tension increase in week 38 for which you had a cesarean section, are complications that we cannot assure that they are necessarily related to your bicorne uterus. It is very likely not. That is, if you had a normal uterus, they could also have happened to you.
Another point that catches my attention is that throughout the pregnancy the anomaly has not been detected and is detected only now. Perhaps, it is because it is a mild malformation.
For more peace of mind, I would advise you to consult with your gynecologist. Through an ultrasound it can confirm the type and severity of the uterine malformation, and knowing the background of your pregnancy, give you a more accurate picture of the risks that a new pregnancy can entail.
I hope the explanation has helped you, both to our reader and to the rest of women diagnosed with bicorne uterus.
