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Embracing Fertility: Unveiling the Effects of Bicornuate Uterus on Pregnancy & Its Treatment

| 25 Jul 2023 | 1577 Views |


Pregnancy, a beautiful phase in a woman’s life, is often accompanied by a whirlwind of emotions and physiological changes. But what happens when the path to motherhood encounters the hurdles of a unique condition such as a bicornuate uterus? At India IVF Fertility, we strive to provide comprehensive and nuanced information about such fertility concerns, empowering women with the knowledge to make informed decisions about their health. This article sheds light on the phenomenon of a bicornuate uterus, its effects on pregnancy, and the available treatment options.

What is a Bicornuate Uterus?

A bicornuate uterus, often known as a “heart-shaped” uterus, is a congenital malformation where the uterus has two horns and is partially divided by a wall, known as the septum. This condition is relatively rare, affecting about 0.1% to 0.5% of women, and can have significant effects on pregnancy. But, let’s get the lowdown on the types of this intriguing condition.

Types of Bicornuate Uterus:

  • Partial Bicornuate Uterus: In this variant, only the upper part of the uterus is divided.
  • Complete Bicornuate Uterus: Here, the division extends all the way down to the cervix, essentially creating two separate uterine cavities.

What are the Causes of Bicornuate Uterus?

A bicornuate uterus is a congenital condition, meaning it occurs during fetal development. This abnormality happens when the two tubes that form the uterus fail to merge entirely during fetal development. While the exact cause is unknown, it’s generally thought to be a combination of genetic and environmental factors.

Symptoms of Bicornuate Uterus:

Common Symptoms

Some common symptoms of a bicornuate uterus include:

  • Recurrent miscarriages
  • Preterm labor
  • Abnormal positioning of the fetus

How Symptoms May Vary

Interestingly, some women with a bicornuate uterus may not exhibit any symptoms and might only discover their condition during a routine gynecological examination or pregnancy ultrasound. The severity of symptoms can also vary widely, largely dependent on the extent of the uterine division.

Diagnosis of Bicornuate Uterus

A bicornuate uterus is typically diagnosed through imaging tests such as ultrasounds, MRI, or a hysterosalpingogram. In some cases, a surgical procedure called a laparoscopy may be used for a definitive diagnosis.

Effects of Bicornuate Uterus on Pregnancy:

A bicornuate uterus can pose several challenges to a successful pregnancy. Women with this condition may experience higher rates of miscarriage and preterm birth. There may also be an increased likelihood of a breech position, where the baby’s feet or bottom are positioned to come out first.

Bicornuate Uterus Pregnancy Success Rates in India

Factors Affecting Success Rates:

Pregnancy success rates with a bicornuate uterus can vary, influenced by several factors such as:

  • The extent of the uterine division
  • The woman’s overall health
  • The presence of any other underlying fertility issues
  • Quality of prenatal care

Despite the challenges, many women with a bicornuate uterus have successfully carried pregnancies to term with appropriate medical care and monitoring.

Treatment of Bicornuate Uterus:

Treatment for a bicornuate uterus is usually not necessary unless it’s causing significant problems with fertility or pregnancy. In such cases, a surgical procedure called a metroplasty may be performed to unify the uterus, enhancing the chances of a successful pregnancy.

Preventing Bicornuate Uterus

As a bicornuate uterus is a congenital condition, it cannot be prevented. However, regular prenatal visits and maintaining a healthy lifestyle can help manage any potential complications.

Health Risks Associated with Bicornuate Uterus:

A bicornuate uterus may increase the risk of:

  • Recurrent miscarriages
  • Preterm birth
  • Malposition of the fetus
  • Complications during labor


A bicornuate uterus can indeed add an additional layer of complexity to pregnancy. However, with the right information, care, and treatment, women with this condition can successfully navigate their fertility journey. At India IVF Fertility, we’re committed to providing comprehensive, compassionate care, accompanying you every step of the way on your path to parenthood.


Yes, many women with a bicornuate uterus have successfully carried pregnancies to term.

It's usually diagnosed through imaging tests like ultrasounds, MRI, or a hysterosalpingogram.

If a bicornuate uterus is causing significant fertility or pregnancy issues, a surgical procedure called metroplasty may be performed.

As it's a congenital condition, a bicornuate uterus cannot be prevented.

Potential health risks include recurrent miscarriages, preterm birth, malposition of the fetus, and complications during labor.

It's a relatively rare condition, affecting about 0.1% to 0.5% of women.

Yes, there are two main types: partial bicornuate uterus and complete bicornuate uterus.

Not necessarily. The impact on fertility largely depends on the extent of the uterine division and the presence of other underlying fertility problems.

While a bicornuate uterus itself may not cause pain, associated conditions like endometriosis can lead to discomfort.

India IVF Fertility, with clinics in Delhi, Noida, and Gurgaon, provides comprehensive care and treatment for a bicornuate uterus.

About The Author
Dr. Richika Sahay

MBBS (Gold Medalist), DNB (Obst & Gyne), MNAMS, MRCOG (London-UK), Fellow IVF, Fellow MAS, Infertility (IVF) Specialist & Gynae Laparoscopic surgeon,[Ex AIIMS & Sir Gangaram Hospital, New Delhi]. Read more

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