PREG­NANCY GLOS­SARY

Mother & Baby - - CONTENTS -

Preg­nancy terms de­coded

About

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.

Di­ag­no­sis

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.

Causes

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.

Symp­toms

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.

Treat­ment

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.

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