Can women with a bicornuate uterus undergoing IVF choose to have multiples?

Nov 25, 2024 Source: Cainiu Health

Dr. Zhang Lu

Introduction

Under normal circumstances, if the patient's physical condition permits, patients with a bicornuate uterus undergoing in vitro fertilization (IVF) may choose multiple embryo transfer. However, this is generally not recommended. Due to the unique structure of a bicornuate uterus, there is already an increased risk of miscarriage during pregnancy, and multiple gestation may further increase these risks, including miscarriage, preterm birth, and low birth weight.

Generally speaking, if the patient's physical condition allows, women with a bicornuate uterus undergoing in vitro fertilization (IVF) may have the option of a multiple pregnancy. However, doctors usually do not recommend multiple pregnancies for these patients. The detailed explanation is as follows:

During IVF treatment for patients with a bicornuate uterus, if a comprehensive evaluation by a physician confirms that the patient's overall health is suitable, the endometrium is sufficiently thick and healthy, and the ovarian function is normal with an adequate quantity and quality of eggs, a personalized IVF plan may be developed based on the patient's specific condition and preferences, which could include the possibility of a multiple pregnancy.

However, due to the unique anatomical structure of a bicornuate uterus, there is already an increased risk of miscarriage during pregnancy. A multiple pregnancy may further elevate this risk, along with the risks of preterm birth and low birth weight. Additionally, multiple pregnancies place greater physical strain on the mother, such as increased nutritional demands and more severe pregnancy-related symptoms, which could negatively affect the health of patients with a bicornuate uterus. Therefore, multiple pregnancies are generally not recommended for these patients.

Prior to undergoing any form of assisted reproductive technology, patients should receive comprehensive physical examinations and professional genetic counseling to ensure they make the most appropriate decision for their individual circumstances.

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What is a bicornuate uterus?

In general, a double uterus may be caused by abnormal development of the Müllerian ducts, genetic mutations, maternal exposure to teratogens during pregnancy, congenital rubella syndrome, Turner syndrome, or other factors. Patients should seek timely medical attention at a reputable hospital to identify the underlying cause and receive appropriate treatment. If necessary, treatment may involve undergoing a uterine reconstructive surgery at a正规 hospital. In daily life,

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Can a bicornuate uterus allow for normal childbirth?

In general, whether a woman with a T-shaped uterus can have a normal pregnancy depends on the severity of the uterine malformation. It is recommended to seek timely medical attention, identify the underlying cause, and undergo symptomatic treatment under a doctor's guidance. To avoid reproductive risks, it is advised to undergo detailed examinations under the guidance of a specialist in obstetrics and gynecology and develop a treatment plan based on individual circumstances.

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What does it mean if the shape of the uterus is irregular?

If caused by congenital factors, it is often due to abnormal uterine development during the embryonic stage, commonly seen in uterine malformations such as bicornuate uterus, septate uterus, and rudimentary horn uterus. These structural changes in the uterus are usually present from birth. Some women may have no obvious symptoms, with normal menstruation and sexual activity, but these abnormalities may affect fertility and increase the risk of miscarriage and preterm birth. Prenatal care monitoring should be enhanced during pregnancy.

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What does a bicornuate uterus mean?

In general, a bicornuate uterus is a congenital uterine malformation and is considered a type of uterine developmental abnormality. Diagnosis and treatment of a bicornuate uterus should be conducted under the guidance of a qualified physician; patients should avoid self-diagnosis or blind treatment. Women who plan to become pregnant are advised to undergo comprehensive reproductive system examinations before conception to assess uterine morphology and function, and to develop an individualized fertility plan.