Uterine abnormalities

Question 1

See picture 1. Name.

Answer 1

Bicornuate uterus. Complete L, partial R.

Question 2

Gold standard to Dx bicorporeal/ bicornuate uterus.

Answer 2

Hysterosalpingogram and hysteroscopy combined with laparoscopy.

Question 3

Is it necessary to surgically treat bicornuate|bicorporeal uterus?

Answer 3

No. Only if recurrent miscarriage, severe pain. Possible to have normal pregnancy.

Question 4

Rx of bicornuate|bicorporeal uterus, if necessary.

Answer 4

Metroplasty.

Question 5

Can normal pregnancy be achieved with bicornuate uterus?

Answer 5

Yes.

Question 6

Can normal pregnancy be achieved with septate uterus?

Answer 6

No. Septum is avascular.