Bicornate Uterus

[zaalitje]

Hi

I'm going to post this in infertility as well, I'm after as many answers/ opinions as I can get as GP hasn't been forthcoming, suggesting if I want to know more I go see a private gynae.

I'm 40, have been TTC for a while following a mmc last Christmas, I had a transvaginal scan a couple of weeks at which the radiographer mentioned I had a bicornate uterus, and would explain in the report to my GP, so I finally had appt with GP yesterday, expecting severity to be explained, but all the radiographer has mentioned is that it exists. I left the appt quite emotional after discussing a couple other issues (AMH) I've had and didn't necessarily push as hard as I should of to understand severity, response from GP being if I wanted more info I'd need to go private as I'm over 40 so outside the NHS criteria.

I have a print out of the report and wondered if someone here can translate now I have had time for things to sink in, the medical terminology is lost on me.

"Uterus is anteverted and wider at the fundus than normal with two endometrial cavities identified at the cornua in keeping with bicornuate configuration. Uniform appearance of the endometrium measuring 7mm (was CD21 if relevant) in thickness. Normal myometrium. The right ovary is normal with no follicles detected. There is a thickwalled 12mm cyst in the left ovary in keeping with a corpus luteal cyst. Left ovary otherwise normal. No free fluid."

If someone can translate, especially if there is any indication in that of severity of bicornate bit I would really appreciate.

Many thanks

[zaalitje]

Anyone?

Please?

[FruitCider]

Hi OP, I have a bicornuate uterus so may be able to help.

The scan results do not indicate the severity of bicornuate, only that you have one. The cyst they refer to is indication that you have recently ovulated, it's nothing sinister.

Please ask any questions about bicornuate uterus you may have, I was diagnosed 5 years ago and know a fair bit.

[zaalitje]

Many thanks for your reply

Do you know if there is any way I can find out the severity of the bicornate?

Do you know the severity of your bicornate?

What tests and investigations have you had, so I know what I am asking for?

Also have you had any issues ttc?

My GP basically told me I need to go private if I wanted to know more, as I am over 40 (by 3 weeks!!) they won't consider offering anything else in terms of assistance or advice and I doubt I can afford a raft of private tests and consultant appointments without eating, significantly, into the funds I have saved for ivf (amh of 0.6, so likely necessary).

Thank you again

[FruitCider]

I had a MRI, on the NHS! There is absolutely no reason why this simple diagnostic test is not available to you. Go to another GP!

I hate to be the bearer of bad news

BU does not affect your fertility level... However depending on the severity it can certainly affect your ability to carry a pregnancy to viability.

My uterus looks like bunny ears. So quite severe. I've had 2 MMC's, a pregnancy of unknown location, and a second trimester miscarriage. I got lucky on pregnancy number 5 because I had an emergency cervical cerclage fitted due to funnelling of the cervix and bleeding.

My pregnancy I carried to term, I bled most of the way through it on and off. I had bi weekly cervical scans, hence the emergency cerclage at 16 weeks. Without that stitch my waters would definitely have broken and I would have lost that baby too.

Main risks that are increased with BU:

1. miscarriage
   
2. PPROM
   
3. IUGR
   
4. premature labour
   
5. breech/transverse presentation
   
6. positional talipes on baby once born
   
   However there are many ladies with BU that have normal pregnancies. It just depends on how stretchy your uterus is. There is no way of telling unfortunately.
   
   I'm so sorry to give you all of this information. I feel terrible

[DaniAlvez]

I have this. Mine does not have a septum down the middle so it's more heart-shaped rather than 2 chambers. I understand that if you have a septum then the tissue that forms the septum cannot host an embryo so if your ovum tries to bed into it then it won't take if that makes sense. I also had an MRI on the NHS to determine the severity. I did have 2 successful pregnancies. Both babies became stuck in the breech position at around 24 weeks so had 2 c-sections. Push for the MRI to find out exactly what your womb looks like. Best of luck.

[MrsBungle]

I don't have a lot of knowledge about it but I was told I have a "heart shaped" uterus at my first scan for my first pregnancy. It seems to be an actual heart shape (rather than bunny ears) so maybe not too severe. Anyway, I have had 2 successful pregnancies and no miscarriages. There was talk that I would likely give birth early, however I was absolutely fine and went full term with both babies. my first birth was quite difficult due to the baby's position but my second birth was much easier once I had been all stretched out! Anyway, possibly mine is not very severe but, personally, I've not had a problem with it. If I were you I would want to find out the severity and I don't understand why they wouldn't do that on the nhs. I would see another gp as pp says. Good luck.

[FruitCider]

Dani septate and bicornuate are 2 different things, not to be confused. It's septate if it looks heart shaped from the outside but has a septum in the middle. If it contains no septum it is bicornuate, ranging from heart shaped to "bunny ears".

[Banana82]

I also have a bicornate uterus and its quite severe, similar to the bunny earrs of FruitCider. I only found out after I had my son via a C section 2 years ago. Despite early private scans, it was never picked up.

I suffered most of the risks that Fruit outlines above with my DS. Due to smaller uterus he was born premature and small, via C section due to transverse lie. My bump was very one sided. Hard one wide, and squidgy on the other.

I have also recently had a miscarriage at 8 weeks trying for our second child. Not sure if thats just me being one of the unlucky 1 in 4 or its due to my uterus. I had a good few scans during my miscarriage when a consultant took a good look at things and everything was explained to me.

Speak to another doctor. Push for the MRI scan. Don't take their first answer. Unfortunately there is very little that can be done for a bicornate uterus but you need to know what you are faced with.

[Imperialleather2]

I've a bc.uterus.and have been told.its bordering on a septate.on radiographer told me I'd be lucky to carry a baby at all.

Well...


I have 2 dc one was 6 weeks.early and rhe other 4 weeks early. Both got wedged on one side of my womb so didnt have much room.

Ds was born naturally and dd was born by c section because she was breech.

Both are fine!

Good luck