Bicornuate uterus and separate uterus Posted: 05-10-08 02:27am
What's the difference between a septum
(septate) and a bicornuate? Are they both
treatable? How? What are my chances of
having successful pregnancies from here on
out? I hear this is a rare problem and no
one knows alot about it, that scares me.
My first pregnancy went well other that
minorspotting at 7 weeks. I delivered my
son at 39 1/2 wks., by Csection b/c he was
breech and the doctor said he was breech
b/c he was stuck since I have a septum. Am
I not going to have other children? Is it
possible to implant a fertilized egg where
you want to in the uterus through some
sort of IVF? Will an HSG determine if it
septate or bicornuate? Can they both be
fixed by resection? Is this condition
really that rare? I have so many
questions. Please help
|
DoctorAnswer
Doctor Answer
Joined: 19 Dec 2005 Posts: 16777211
Thanks: 10
Thanked:0
Infertility Answer A4106 Posted: 05-13-08 20:16pm
In a “bicornuate uterus” the caudal
(lower) part of the uterus is normal and
the cranial (upper) part is bifurcated
(“heart-shaped”). In a “separate
uterus” there is one uterine cave
divided (completely or incompletely) in 2
parts by a vertical septum. HSG
(hysteron-salpingo-graphy) is not a very
accurate method for distinguishing a
“bicornuate uterus” from a “separate
uterus”. An MRI and ultrasound scan are
more reliable methods for distinguishing
them between each other.
I am not sure why you need an HSG when
your uterus anomaly was already directly
noticed during the C-section. You didn’t
tell me exactly why you need all these
medical investigations! Do you have
problems with conceiving again?
Both uterus anomalies should not cause
problems with conceiving but may cause
problems with keeping the pregnancy long
enough. As I can see from your medical
history, you kept the whole pregnancy so I
don’t see a reason why you should treat
any of these conditions.
Both conditions can be treated surgically
but only if pregnancy can’t be kept long
enough to deliver a life-capable baby. A
bicornuate uterus is treated with
metroplasty and a separated uterus with a
septum resection.
DISCLAIMER: "Ask a Doctor" Questions are answered by Dr. Nikola Gjuzelov, General Practitioner. Dr. Gjuzelov practices medicine for the general public and is affiliated with the Republic of Macedonia Public Health Institution. For more information about Dr. Gjuzelov or other eHealthForum.com medical experts, please visit our About Us page. You may also visit our Infertility Forum, for moderated patient to patient support and information.
The material presented in the eHealth Forum Discussion Forums and Ask A Doctor is in no way intended to replace professional medical care or attention by a qualified licensed medical professional. eHealth Forum and eHealth Forum's Ask A Doctor advises all users with health problems and concerns to consult their personal doctors. Furthermore, if you have any questions or concerns about your condition, you must consult your qualified licenseced medical professional before starting any treatment.
The materials in the eHealth Forum Discussion Forums and Ask A Doctor cannot and should not be used as a basis for diagnosis or choice of treatment. To the fullest extent possible, eHealth Forum and eHealth Forum's Ask A Doctor expressly excludes all liability in respect of the information and opinions contained in the Discussion Forums and Ask A Doctor, this Web site, or any sites linked to this Web site.
The site is not a replacement for professional medical opinion, examination, diagnosis or treatment. Always seek the advice of your medical doctor or other qualified health professional before starting any new treatment or making any changes to existing treatment. Do not delay seeking or disregard medical advice based on information written by any author on this site. No health questions and information on eHealth Forum is regulated or evaluated by the Food and Drug Administration and therefore the information should not be used to diagnose, treat, cure or prevent any disease without the supervision of a medical doctor. Posts made to these forums express the views and opinions of the author, and not the administrators, moderators, or editorial staff and hence eHealth Forum and its principals will accept no liabilities or responsibilities for the statements made.
Schizophreniahealth
This page was last updated on June 11, 2008
