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Bicornuate Uterus: Types and Their Implications for Fertility

| 03 Jun 2023 | 1839 Views |


When it comes to the winding roads of fertility, there’s no question about it, the journey can be as complex as a labyrinth. One puzzle that we at India IVF Fertility often encounter revolves around the bicornuate uterus – a fascinating divergence from the typical ‘pear-shaped’ womb. This oddity in the uterine structure throws a wrench in the usual reproductive works, leaving many women and couples feeling lost in a maze of questions and confusion. Fear not! We’re here to light the way, illuminating the complex labyrinth of bicornuate uterus types, including bicornuate uterus unicollis and bicornuate uterus bicollis, and their implications for fertility. Let’s unravel this fascinating thread together, shall we?

The Road Less Traveled: The Bicornuate Uterus

The bicornuate uterus is an unusual condition, a congenital malformation where the uterus has two “horns” and is shaped like a heart. This divergence can further be classified into various types, each carrying its unique set of implications for fertility:

  1. Bicornuate Uterus Unicollis: Here, the uterus has a single cervix but a notable indentation at the top, creating a two-horned appearance.
  2. Bicornuate Uterus Bicollis: This variant features two cervices, with the uterine body split into two parts.
  3. Bicornuate Uterus with Rudimentary Horn: One horn of the uterus is significantly smaller, often non-functional.
  4. Bicornuate Uterus with Septum: In this unusual configuration, a wall or septum runs down the uterus, dividing it into two cavities.

The intricate dance between these types and fertility is a narrative full of turns and twists. But before we venture further down this rabbit hole, let’s take a moment to clarify a common conundrum – bicornuate uterus vs septate uterus.

Bicornuate Uterus vs Septate Uterus: Clearing the Fog

While bicornuate uterus and septate uterus might seem similar, they’re actually different stories with different endings. Picture this:

Bicornuate Uterus Septate Uterus
Uterus has a heart shape Uterus has a normal outer shape
Uterine cavity is divided by a deep indentation at the top Uterine cavity is divided by a wall or septum
Typically affects the ability to carry a pregnancy to term Typically affects the ability to conceive


Unraveling the mysteries of a bicornuate uterus isn’t as daunting as it seems. With a trusted fertility specialist by your side, you can navigate this intricate labyrinth with confidence and grace. At India IVF Fertility, we are committed to shining a light on your fertility journey, helping you understand the twists and turns that come with conditions like the bicornuate uterus.

Remember, every journey begins with a single step. And on the winding path of fertility, there’s no better guide than knowledge. So arm yourself with information, stay curious, and keep asking questions. You’re not alone in this labyrinth; we’re here, ready to guide you through every twist and turn.

To further elucidate, let's tackle some frequently asked questions:

While both conditions involve a divided uterus, a bicornuate uterus has an abnormal external shape, while a septate uterus has a normal external shape with an internal division.

Yes, it's possible to conceive with a bicornuate uterus. However, it may increase the risk of miscarriage or preterm labor.

It can potentially affect the implantation process, but each case is unique. Your IVF specialist will guide you based on your individual circumstances.

Yes, surgical intervention is possible to reshape the uterus. This procedure is typically reserved for women who have experienced repeated miscarriages.

It can increase the risk of miscarriage, preterm labor, and malpresentation of the fetus (like breech presentation).

While it typically doesn't cause pain, some women may experience increased menstrual cramps or discomfort.

It's usually diagnosed through imaging techniques like ultrasound, MRI, or hysterosalpingography.

Treatment depends on the severity of the condition and the woman's reproductive history. It ranges from careful monitoring to surgical correction.

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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