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Bicornuate uterus and separate uterus

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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


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replied May 13th, 2008
Infertility Answer A4106
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.



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