Pregnancy terms decoded
A bicornuate uterus is a scientific term derived from Latin. It means ‘horn’. It is also called a heartshaped uterus. In this case, the uterus is made up of two shapes that look like horns and are separated by a septum. The uterus has a protrusion on the top, which makes it appear more like a heart-shaped organ, and on both sides of the womb. With this condition, it does not mean that you have a split uterus but a complete uterus, which did not form properly.
Your doctor can carry out the following tests to understand if you have a bicornuate uterus. During the examination, an intubation of the uterus cavity is performed. It helps in figuring out the shape of the uterus. A bicornuate uterus is detected during an ultrasound of the pelvis with the help of a vaginal sensor. Hysterosalpinography: It uses an X-ray method to examine your uterus as well as your fallopian tubes. It is a non-invasive procedure which will help the doctor assess the situation. Hysteroscopy: Your doctor will use a thin and lighted tube which is known as hysteroscope, and will insert it into your vagina and examine your cervix as well as the inner part of the uterus. Laparoscopy: It is a type of a surgical procedure in which the doctor will insert a fibre optic instrument through the wall of your abdomen. It will allow the doctor to view the organs and help him understand if a minor surgery is required.
It is not unnatural for women to have abnormalities in the uterus. Sometimes, these abnormalities are undetected until a women becomes pregnant. The formation of the bicornuate uterus may be caused due to various factors during the first trimester. These include intoxication, endocrine diseases and heart diseases. Infections such as measles, rubella, influenza and other diseases can cause negative effects as well. The uterus may also be accompanied by some other abnormalities like urinal system defects.
The signs will differ from woman to woman if they have a bicornuate uterus: Miscarriage: It usually happens in the first trimester. It may be caused due to insufficient blood supply and small size of the cavity. Placental abruption: Abnormal position of the placenta may occur along with bleeding. Pain and discomfort during your days of ovulation. Problems in conceiving: You may experience pain during your menstrual cycle. As a result, your ability to conceive is disrupted. In case you do conceive, you may find it difficult to hold on to the pregnancy.
If you are diagnosed with a bicornuate uterus, the doctor will suggest you go for surgery, especially is you are planning to get pregnant. The procedure is called metroplasty. Your doctor will first make an incision that will help to separate the cavity in the uterus. Once done, he will make another vertical incision by using a layered closure. The closure will almost be same as the one that is done as a part of a C-section operation.