Classification:
There are many degrees of a bicornuate uterus. There is a continuous range of the degree and location of the Müllerian ducts fusion and existence of a septum rather than a fixed number of types corresponding to strict medical definitions. Two processes that occur during the embryonic development of the Müllerian ducts, fusion and reabsorption, can be affected to different degrees. The degree can determine the likeliness of a pregnancy reaching full-term.
Epidemiology:
The occurrence of all types of müllerian duct abnormalities in women is estimated around 0.4%. A bicornuate uterus is estimated to occur in 0.1-0.5% of women in the U.S. It is possible that this is an underestimate since saddle abnormalities often go undetected.
Effect on reproduction:
Pregnancies in a bicornuate uterus are usually considered high-risk and require extra monitoring because of association with poor reproduction potential. A bicornuate uterus is associated with increased adverse reproductive outcomes like:
1. Recurrent pregnancy loss. The reproductive potential of a bicornuate uterus is usually measured by live birth rate (also called fetal survival rate). This rate is estimated around 63% for a bicornuate uterus.
2. Preterm delivery. With a 15 -25% rate of preterm delivery. The reason that a pregnancy may not reach full-term in a bicornuate uterus often happens when the baby begins to grow in either of the protrusions at the top. A short cervical length seems to be a good predictor of preterm delivery in women with a bicurnuate uterus.
3. Malpresentation (breech birth or transverse presentation). A breech presentation occurs in 40-50% pregnancies with a partial bicornuate uterus and not at all (0%) in complete bicornuate uterus.
Bicornuate Uterus and Pregnancy Loss Risks:
Most studies find that the primary risk associated with a bicornuate uterus is of preterm labor and possible cervical insufficiency (not first-trimester miscarriages). Cervical insufficiency and preterm delivery could potentially cause a second-trimester miscarriage or loss at birth if the baby is born too prematurely, such as before 24 or 25 weeks of pregnancy
Diagnosis:
It is very difficult, though sometimes possible, to diagnose a bicornuate uterus using an ultrasound. As a result, a bicornuate uterus often goes undetected until delivery. In a c-section (usually done due to malpresentation) the irregular shape of the uterus can be noticed. Imaging detection methods include: hysterosalpingography and hysteroscopy. MRI is emerging as an accurate detection method for bicornuate uterus as well as other Müllerian duct abnormalities
Treating a Bicornuate Uterus: Saravana hospital homoeopathic treatment gives excellent cure for Bicornuate uterus. please see the cured reports. |
