The two-horned uterus
A two–horned uterus is a congenital abnormality of the uterine wall structure, in which the cavity of the reproductive organ is divided into two parts, connected in the lower sections. The atypical structure of the uterus is indicated by the absence of menstruation, uterine bleeding and problems with conception. It is worth noting that in some cases, pregnancy and childbirth with a diagnosis of a two-horned uterus are possible, but there is a risk of complications.
Diagnosis of the presence of a two-horned uterus
Treatment of the bicorn uterus, as well as other diseases of the female reproductive system, begins with a diagnosis. The examination includes several procedures:
- ultrasound examination of the pelvic organs,
- magnetic resonance imaging,
- laparoscopy of the genitals,
- checking the patency of the fallopian tubes — hysterosalpinography.
After the diagnosis, the doctor determines the degree of pathology and prescribes a treatment regimen. It should be noted that modern medicine distinguishes four types of a two-horned uterus:
- uterus with a septum
- saddle uterus
- bicorn uterus
- complete doubling of the uterus.
- Treatment of uterine abnormalities
Treatment of a two-horned uterus does not always require surgical intervention. Thus, with a saddle uterus, a woman's chances of conception and childbirth are very high, and pregnancy takes place without fetal pathology. However, with infertility, non-functioning horns, and spontaneous abortions, surgery is necessary.
During surgical intervention in the area of the horns, their walls are dissected. Excess tissue is removed, and the walls are sewn into a single, regular-shaped cavity. In the presence of an underdeveloped uterine horn, an operation is performed to completely remove it. Surgical intervention is performed in an open way, or minimally invasive using a laparoscope, which is inserted through small incisions in the skin. To avoid the formation of adhesions after the operation, the doctor inserts a spiral into the uterine cavity and prescribes hormone therapy to the patient for six months.
Pregnancy planning after surgery
After surgery and hormone therapy, in the absence of adhesions of the uterine walls, pregnancy planning is possible after 6-8 months. However, the course of the fetal development process should be under the constant supervision of the attending physician.
