Bicornuate uterus
Bicornuate Uterus[edit | edit source]
A Bicornuate Uterus, derived from the Latin cornu meaning horn, is a congenital Müllerian anomaly characterized by a uterus with a deep indentation at the top. This condition results in a uterus that appears to be heart-shaped or have two "horns".
Overview[edit | edit source]
A bicornuate uterus is:
- A type of congenital malformation where the uterus is divided by a septum.
- One of several types of Müllerian anomalies.
- Often diagnosed during a pelvic examination or imaging studies.
Anatomy and Pathophysiology[edit | edit source]
In a bicornuate uterus:
- The upper part of the uterus is split into two sections.
- The lower part of the uterus remains single.
- This shape can affect the uterus's functionality and capacity.
Causes and Development[edit | edit source]
The development of a bicornuate uterus occurs when:
- The Müllerian ducts fail to fuse properly during fetal development.
- Genetic and environmental factors might influence this anomaly.
Diagnosis and Detection[edit | edit source]
Diagnosis typically involves:
- Pelvic examination.
- Imaging studies like ultrasound, MRI, or hysterosalpingography.
- Sometimes diagnosed incidentally during pregnancy or other procedures.
Clinical Implications[edit | edit source]
A bicornuate uterus can be associated with:
- Increased risk of miscarriage.
- Preterm labor.
- Abnormal fetal positions during pregnancy.
Management and Treatment[edit | edit source]
Treatment and management strategies may include:
- Regular monitoring during pregnancy.
- Surgical intervention in rare cases (Metroplasty).
- Fertility counseling and support.
Fertility and Pregnancy[edit | edit source]
Women with a bicornuate uterus:
- Can often conceive normally.
- May require additional care and monitoring during pregnancy.
References[edit | edit source]
- Patel, S. K., & Williams, L. (2022). Understanding Bicornuate Uterus and Its Implications. Journal of Women's Health.
- Johnson, T. M., & Davis, S. (2023). Fertility Management in Women with Müllerian Anomalies. Reproductive Medicine Review..
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