What does a bicornuate uterus mean?

Jul 01, 2025 Source: Cainiu Health

Dr. Zhang Lu

Introduction

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.

Generally speaking, bicornuate uterus is a type of congenital uterine malformation and belongs to abnormalities of uterine development. Detailed analysis is as follows:

A bicornuate uterus is a rare abnormality of uterine development and is a type of uterine septum. During embryonic development, the two paramesonephric ducts fail to fully fuse or partially fuse improperly, resulting in an adult uterus that appears as two horns or two separated halves, resembling a heart shape or bicornuate form. This structural abnormality may affect a woman's fertility, increasing the risks of miscarriage, preterm birth, and abnormal fetal positions. During childbirth, women with a bicornuate uterus may experience poor development or malformation of the uterine muscle layer, potentially leading to complications such as uterine rupture, placental retention, or postpartum infection.

Diagnosis and treatment of a bicornuate uterus should be conducted under the guidance of professional physicians. Patients should avoid self-diagnosis or blind treatment. Women who plan to become pregnant are advised to undergo detailed reproductive system examinations before conception to assess uterine morphology and function and to develop an individualized fertility plan.

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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 congenital bicornuate uterus mean?

In general, congenital double uterus, typically refers to a rare developmental abnormality of the female reproductive system. This condition means that during embryonic development, the two uterine structures that should have fused into a single uterus fail to completely merge, resulting in the formation of two separate uteri. To avoid potential health risks, it is recommended to undergo regular examinations and evaluations under the guidance of a qualified physician.