Is it possible to get pregnant with a bicornuate uterus?

Bicornuate uterus is a congenital malformation in which the uterus has a partial or complete division in its cavity, giving it a heart-shaped shape instead of its usual structure. This condition may go unnoticed until there are difficulties conceiving or recurrent gestational losses are experienced. Although the bicornuate uterus can represent a challenge in pregnancy, many women manage to carry a pregnancy to term with proper follow-up and treatment.

Abnormal development of the bicornuate uterus occurs during gestation of the female fetus, when the Müllerian ducts do not fuse completely. Depending on the degree of separation, this malformation can be classified as complete bicornuum, where the division is total, or partial bicornuum, when the separation is less pronounced. In some cases, the bicornuate uterus may not cause symptoms and may be detected incidentally during fertility studies or ultrasounds for other reasons.

Symptoms and diagnosis of bicornuate uterus

Many women with a bicornuate uterus don’t show obvious signs until they face reproductive problems. Some symptoms include irregular periods, pelvic pain, and recurrent miscarriages. In less frequent cases, difficulties in embryo implantation or premature births may also be experienced.

To diagnose this condition, specialists resort to imaging tests such as three-dimensional ultrasound, official hysterosalpingogram (HSG) and magnetic resonance imaging. These tests make it possible to visualize the internal structure of the uterus and differentiate the bicornuate uterus from other uterine abnormalities, such as the uterine septum, which can have a similar impact on fertility.

Is it possible to get pregnant with a bicornuate uterus?

The ability to conceive with a bicornuate uterus depends on the degree of the malformation. Many women can achieve pregnancy naturally, especially if the division of the uterus is mild. However, in more severe cases, embryo implantation can be affected, increasing the risk of miscarriage and premature birth.

Although the risk of complications is higher in women with a bicornuate uterus, specialized medical care and constant monitoring during pregnancy can help improve the chances of carrying a pregnancy to term. In some cases, corrective surgery called metroplasty is recommended to improve the ability to prege.

Recommended assisted reproduction treatments

When natural conception is difficult, assisted reproduction treatments can be a viable alternative. In vitro fertilization (IVF) is one of the most widely used options, as it allows viable embryos to be selected and the conditions for implantation to be optimized. In addition, in some cases, embryo transfer to the uterine cavity with better implantation capacity may be considered.

Pregnancy rates in women with a bicornuate uterus vary depending on the severity of the malformation and the treatment used. Studies suggest that with the right care, 50% to 80% of women can achieve a successful pregnancy. However, medical monitoring is essential to reduce the risk of obstetric complications.

The bicornuate uterus can pose a fertility challenge, but with proper diagnosis and the proper medical strategies, many women are able to conceive and carry a pregnancy to term.

At Fertivida, fertility specialists can help evaluate each case in a personalized way, offering solutions adapted to the specific needs of each woman. If you’ve had difficulty conceiving or experienced recurrent gestational losses, a specialist consultation may be the first step in finding the right treatment.

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