Risks of unicornuate uterus
Apr 10, 2023
Source: Cainiu Health
Dr. Lv Aiming
Introduction
Unicornuate uterus, also known as unilateral uterine hypoplasia, is a congenital uterine developmental anomaly. It can lead to complications such as pregnancy complications, ectopic pregnancy within the uterine cavity, and reduced pregnancy outcomes. In addition, diagnosing a unicornuate uterus can be challenging. If a patient is diagnosed with a unicornuate uterus, the physician should provide appropriate treatment recommendations based on the individual case.
Unicornuate uterus, also known as unilateral uterine hypoplasia, is a congenital uterine developmental anomaly. It can lead to various complications such as pregnancy-related issues, ectopic pregnancies within the uterine cavity, and reduced pregnancy quality. The specific analyses are as follows:
1. Pregnancy Complications
A unicornuate uterus increases the risk of pregnancy complications. Due to the smaller uterine space, fetal growth may be restricted, leading to higher rates of complications such as preterm birth, placental abruption, and placenta previa. Additionally, abnormal uterine morphology can cause cervical incompetence, increasing the risks of premature rupture of membranes, polyhydramnios, or oligohydramnios.
2. Ectopic Pregnancy in the Uterine Cavity
A unicornuate uterus also raises the risk of ectopic implantation. Because of the abnormal uterine shape, the fertilized egg may implant outside the uterus, such as in the fallopian tubes, ovaries, or abdominal cavity. In such cases, emergency surgery may be required, as an untreated ectopic pregnancy can lead to severe complications including hemorrhage and intense pain.
3. Reduced Pregnancy Quality
A unicornuate uterus can also impair pregnancy quality. The abnormal uterine structure may interfere with embryo implantation and development, increasing the likelihood of miscarriage, fetal demise, and preterm delivery. Moreover, due to limited uterine space, the placenta and fetus may not receive adequate nutrients and oxygen, thereby affecting normal fetal growth and development.
In addition, diagnosing a unicornuate uterus can be challenging. If a patient is diagnosed with this condition, the physician should provide appropriate treatment recommendations based on the individual clinical situation.
