What is a bicornuate uterus?
A bicornuate uterus is a uterus that has two horns and a heart shape. The uterus has a wall inside and a partial split outside. A bicornuate uterus is the most common congenital uterine anomaly and can impact a woman’s reproductive capabilities. Several studies show that women with a bicornuate uterus have about a 60% success rate in delivering a living child but have a higher risk of cervical incompetence. The condition is associated with an increased rate of spontaneous abortion, though the miscarriage rate is lower with a bicornuate uterus than with a septate uterus . That’s probably because the blood supply to the midline indentation is better. Premature labor, a breech presentation and/or a retained or trapped placenta are also common complaints with a bicornuate uterus. If necessary, a bicornuate uterus can be corrected surgically. Few efficacy studies of the surgery have been published. In three studies reporting on a total of 11 women, approximately 90% successfully carried a p