Can a bicornuate uterus allow for normal childbirth?
Jul 09, 2025
Source: Cainiu Health
Dr. Zhang Lu
Introduction
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.
Generally, whether a woman with a bicornuate uterus can have a normal pregnancy depends on the severity of the uterine malformation. It is recommended to seek timely medical consultation to determine the underlying cause and receive symptomatic treatment under a doctor's guidance. Detailed analysis is as follows:
If the bicornuate uterus is mild and both the endometrium and uterine cavity maintain relatively normal structures, the embryo implantation and development may not be affected, allowing the woman to conceive and deliver normally. Many women with mild bicornuate uterus can successfully conceive and give birth without even being aware of this condition.
In cases of severe bicornuate uterus, there is a significant indentation at the uterine fundus, limited uterine cavity space, and uneven endometrial development. These abnormalities can interfere with normal embryo implantation and increase the risk of early miscarriage and embryonic arrest. Moreover, due to the abnormal uterine shape during pregnancy, complications such as abnormal placental attachment, fetal growth restriction, preterm birth, and fetal malposition may also occur.
To reduce the risks associated with pregnancy, it is recommended to undergo comprehensive evaluation under the guidance of a specialized obstetrician and gynecologist and develop an individualized treatment plan. During preconception or pregnancy, attention should be paid to maintaining healthy lifestyle habits, such as balanced nutrition, avoiding smoking and alcohol consumption, and preventing excessive fatigue.
