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Old 01-28-2008, 08:19 PM   #1 (permalink)
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Question Bicornuate Uterus?

I was recently diagnosed with a bicornuate uterus, basically the Dr told me I have two uteruses when I should only have one. She actually said that if I were to get pregnant I could actually get pregnant again while I was already pregnant (confusing, I know). Has anyone ever heard of this? and if so what complications can this cause? Thanks in advance.
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Old 01-28-2008, 10:50 PM   #2 (permalink)
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Default Bicornuate / Septate / Didelphys

Are you certain that's exactly what your doctor told you? If so, please find another doctor.

Women with Didelphys Uterus have two Uteri and two cervix... and yes, they can get pregnant and have two babies growing at different gestations. It's very rare, but it is possible.

How did your doctor diagnose you? Do you have two cervices? Do you have to get 2 paps when you go in for your annual? If not, I would think this is not what you have.

Septate Uterus is one uterus that is divided into 2 cavities by a septum, which can be surgically removed in order to great 1 normal uterine cavity. Without the surgery, septate uterus can cause miscarriage in up to 80% of pregnancies. Septates can sometimes also divide the cervix into two, and sometimes even divide the vagina into two.

Bicornuate Uterus is one uterus that is split into 2 cavities, typically meeting together at the bottom and sharing 1 cervix. Unlike septate, Bicornuates do not have removable septum in an otherwise-normal cavity. A bicornuate uterus is deformed from the outside as well.

The difference between Bicornuate and Septate CANNOT be determined by HSG alone. You would need an MRI to distinguish the shape of the fundus of your uterus.

Hope this helps. Reproductive Endocrinologists know more about these types of uterine anomalies. There are more than the ones I mentioned here. I was born with a uterine anomaly myself.
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Old 01-29-2008, 10:02 PM   #3 (permalink)
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Chrissy, I also have a septate uterus. It was discovered when I was pg, during my second u/s. At first, my doctor couldn't recognize what it was--he thought perhaps it was the remnant of a twin that had died in utero. I had u/s every two weeks during my pregnancy, to ensure that the septate wasn't causing growth or placenta issues. My daughter ended up in a breech position, and she stayed that way, because she couldn't move a bit from the septate. I got a scheduled c-section--yeah!--which is what I wanted.

Before my c-section, my doctor intended to remove the septate via surgery following my pregnancy. However, after he saw it up close, he decided that between the septate and the c-section, I had enough scar tissue in my uterus, and since I'd carried my dd to term with no issues, he decided to leave it as it was.

Sprg's quote was shocking--but not surprising--to me, that 80 percent of septate pregnancies end in m/c. Sadly, it may be about luck--I was lucky enough to have my dd implant in a place where she could thrive, and it didn't affect her connection to the placenta.

Good luck!
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Old 01-30-2008, 11:28 PM   #4 (permalink)
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I was actually diagnosed through an u/s. I am probably going to get a second opinion, since the Dr. could be wrong. Thanks for the info.
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Old 02-01-2008, 07:03 PM   #5 (permalink)
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I actually found out I had an "arcuate" uterus when they diagnosed with PCOS from an ultrasound! YEAH, double whammy! I guess my uterus is in the shape of a heart rather than an upside down triangle. He said it wasn't severe but I heard that obviously there can be problems with miscarriages, etc. Man, why can't our reproductive organs be normal, ladies!? Haha : ) We will survive.
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Old 02-01-2008, 07:19 PM   #6 (permalink)
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I agree with what Sprgtime said!

A bicornuate uterus is not the same as having two uteri. Rather, it is one uterus that is misshapen. From the outside, it has a heart shaped appearance but coming together at the bottom (as a normal uterus does) where it becomes the cervix. Instead of one open cavity in the uterus, it has two smaller cavities.

A septate uterus looks completely normal from the outside, but on the inside it has a wall. This wall can be partial or complete. Depending on the severity, it can cause problems or not. These uteri general look heart shaped on the inside, but again, the outside is normal. If the septum is large or causing problems, surgery can be performed to cut it out.

Definitely get a second opinion either way. It is important that you know exactly what the issue is, that way you can deal with it correctly. I have a friend who was told that she had a bicornuate uterus and that she wouldn't be able to carry a child. Later, after a second opinion, she found out that she has a mild septum, which is much less severe. She is now the mom of a 5 month old daughter.

One issue is that some medical professionals use the terms interchangeably, and they are two distinctly different issues.
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Old 02-01-2008, 09:44 PM   #7 (permalink)
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There is a good group on yahoo.com, in the gorups section that is called Mullerian Anomalies. You can join and read the chat group, you will learn so much. I do know that Bicornuate uterus will automatically make you high risk in pregnancy, because of limited blood flow to baby. So when pregnant, you will be monitored more. It will be good to consult with an RE prior to TTC to see if it is significant enough to take out, or leave in place. Good luck!
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