Book an Appointment
fertility basics

Causes, Symptoms and Treatment of Bicornuate Uterus

  • 4.6 (6 Votes)

Bicornuate Uterus is a congenital uterine abnormality where uterus becomes heart shaped. Miscarriages in second trimester, preterm labor and incompetent cervix are usually linked to bicornuate uterus because of the increased adverse reproductive result. In this article, you will find all details about Bicornuate including its effects, symptoms and treatment.

Bicornuate Uterus is a congenital uterine anomaly found in a number of women across the world where the uterus is heart shaped. The normal uterus has one cavity but bircornuate uterus has two cavities. The uterus appears like a two-horn structure, which divides the uterus in two parts. This is a congenital uterine anomaly that can meddle with a woman’s reproductive capabilities thereby making it difficult for her to conceive.  

The shape of a woman’s uterus remains a crucial aspect, as it is the place where the baby is positioned during pregnancy. Although the anomalies related to the uterus are not very common yet still bicornuate uterus is the most common condition of all among the defects found in the women who suffer from the abnormal shape, size, and structure of uterus.

This condition can be surgically corrected if required and it has been seen in studies that around 90% of the women were able to complete pregnancy term after removing the septum. It has also been observed that women with bicornuate uterus show a success rate of 60% but a great risk of cervical incompetence is always there. Spontaneous miscarriages, preterm delivery and incompetent cervix are a major indicator of the condition.

Bicornuate Uterus Effects on Pregnancy

It is seen that the “heart shape” of the uterus doesn’t have an immediate impact on pregnancy that is it doesn’t really interferes with the fertility of a woman or conceiving a baby but its effects become visible only in form of miscarriages and premature labor. Due to lesser space inside the uterine cavity one can experience preterm labor, miscarriages in second trimester and slow growth of baby. There have been researches though, that have shown that it’s more prominent in infertile women. It is made clear by various researchers that the main cause of the complications during pregnancy is due to irregular uterine contractions or reduced capacity of the deformed uterus. Also, the chances of pregnancy in women due to uterus anomalies could fall from 37.6 percent to 1.8 percent.

Bicornuate Uterus Effects on Pregnancy

Moreover, it is a greater possibility that a mother with this kind of a defect may give birth to a baby with congenital defects as compared to a mother who does not have it and the chances are as high as four times as stated in a study. A pregnancy with a bicornuate uterus is considered as high-risk and is subjected to close monitoring by a doctor to constantly determine the position of the baby inside the uterus that could be done with the help of frequent ultrasounds. It can be seen that the baby may come to breech position indicating the downward position of the feet hence more testing is required at various stages and the likeliness of cesarean at the time of the birth is more.

This article enhances your information on the causes, symptoms, diagnosis, and treatment of Bicornuate Uterus. But, firstly let’s have a look on the different types of uterus and difference between them.

Differences between Bicornuate Uterus and Septate Uterus

Sometimes, the uterus has a single cavity but a wall known as septum divides it partially or completely. This type of uterus is known as septate uterus, which is different from bicornuate uterus. A true bicornuate uterus is the one where two uterine horns actually migrate down but both of the arms or horns don’t completely fuse to make a normal uterus. Now, if we talk of septate uterus, itis an abnormality where the uterine horns fuse completely, but the intervening septum is not completely absorbed. The uterus then appears as two horns internally, but externally looks to be unified. Sometimes, just after seeing an ultrasound report doctors cannot determine whether the uterus is bicornuate or septate.

septate uterus

In such cases, a noninvasive procedure called a pelvic MRI can distinguish these two circumstances and other uterine congenital abnormalities. But, a reproductive endocrinologist best knows whether the uterine abnormality is bicornuate or septate one.

Symptoms of Bicornuate Uterus

Check here the symptoms and the reasons causing Bicornuate Uterus and get aware of the facts about bicornuate uterus. The condition in most of the women goes undetected due to the fact that it doesn’t show any significant symptom until you have undergone an ultrasound or a specific test that may help to bring out the condition. Whereas there are women who report specific symptoms such as:

  • Repeated miscarriages
  • Irregular bleeding
  • Pain during intercourse
  • Painful periods
  • Abdominal discomfort
  • Premature labor
  • Retained or trapped placenta

Causes of Bicornuate Uterus

Below is the described information about the causes of bicornuate uterus that will help you get aware of right and precise facts. The condition is congenital and is found right from the time of the birth of a woman. It simply means that the uterus of a girl was not formed properly in the womb. The partial fusion of the special ducts leads to the separation of the upper parts of the uterus and they stick out in order to give a heart-shape to the uterus. This condition is entirely congenital and there are no means to prevent it.

Bicornuate uterus

Diagnosis of Bicornuate Uterus

Before going for bicornuate uterus treatment you definitely need to go and get diagnosis done for the problem. There are different tests that may be carried out to determine the presence of a bicornuate uterus like:

  • Magnetic resonance imaging (MRI)
  • Ultrasound
  • Pelvic exam
  • Hysteroscopy
  • Laparoscopy

The condition is usually noticed at the time of an ultrasound imaging during pregnancy or just to diagnose the cause of certain unwanted symptoms. There are many women that remain unaware of the condition for a long time of their lives.

Treatment of Bicornuate Uterus

Although a majority of the women do not need a surgical method for the correction. But some women find it really hard to get pregnant and may need surgical intervention. A surgical method named Laparoscopic Strassman’s Metroplasty is carried out in women that show a history of spontaneous miscarriages.  Notably, it was observed in a research that a majority of women that underwent a surgical procedure for the correction of the uterus ended up having successful pregnancies and child birth.

The fact that the condition doesn’t have an apparent effect on the chances of becoming pregnant, the means to correct it through surgery is a controversial subject. It’s important that you undergo a proper examination of your reproductive system before planning a pregnancy to identify any such issues. It may not directly impact your chances of getting pregnant yet may result in miscarriage during the later stages of pregnancy or even early birth. It’s however, quite possible to have a successful pregnancy and delivery by acquiring suitable medical aid and careful treatment procedure.

A separate uterus can be easily repaired with the medical-surgical process known as hysteroscopy through septum resection.  A true bicornuate uterus is uncomplicated to move toward with a major surgical treatment known as Strassmann method. Suffering from a bicornuate uterus is most likely to affect your fertility. But for some instance, it could become the problem and would lead to miscarriage and early birth. But still, after this, there are no worries as you may still be able to have a successful pregnancy and delivery.

But why take a risk? It is important to enclose your history with a good medical team that will monitor your pregnancy  carefully from time to time. Seek our help and we are there to help you avail the best information and guide from the best consultant.

Be sure about getting the right time treatment for the bicornuate uterus and get expert’s advice also. Just connect us at +91-7899912611 for any fertility related assistance.

Dr. Sheetal Pandey Tejwani

About The Author

Gynecologic Surgeon, Laparoscopic Surgeon Dr. Sheetal Pandey Tejwani

Dr. Sheetal Pandey Tejwani is an Infertility Specialist, Gynecologic Surgeon and Obstetrician, located in Mumbai and having an experience of almost a decade. Her alma mater is B J MEDICAL COLLEGE in Pune from where she completed her MBBS and MS in Obstetrics and Gynaecology in 2007 and 2009, respectively. In the following year, she pursued her DNB in Obstetrics and Gynecology. She received her Post Doctoral Fellowship in Reproductive Medicine from Krishna IVF Vizag and Nadkarni IVF Centre, Surat in 2013. She is the member of 3 different associations i.e. Indian Society of Assisted Reproduction (ISAR), Indian Medical Association (IMA), and Association of Medical Consultants. Her area of expertise includes Tubectomy/Tubal Ligation, Hysterectomy (Abdominal/Vaginal), Intrauterine Insemination (IUI), Caesarean Section and In-Vitro Fertilization (IVF). She is a consultant in Veda Fertility And Urology Care, Mira Road and is a visiting consultant in Wockhardt Hospital, Mira Road, Mumbai. You can get the contact details of Dr. Sheetal Pandey Tejwani at


  1. How to increase fertility in women - useful tips infertile women, Elawoman - 2017
  2. Causes and treatment of irregular periods Irregular bleeding, Elawoman - 2017
  3. What are the functions of uterus? uterus, Elawoman - 2017
  4. 15 weeks pregnant - symptoms, baby size and more pregnancy, Elawoman - 2017
  5. Tips and advice before getting pregnant successful pregnancies and child birth, Elawoman - 2018
  6. How often one should have sex to get pregnant? chances of getting pregnant, Elawoman - 2018
  7. Your two week wait day by day monitor your pregnancy, Elawoman - 2017



Shradhaa Rao

I had repeated miscarriages due to the bicornuate uterus. So, my husband and I opt for surrogacy to have a child as we didn't want to have any surgery.

Oct. 12, 2018, 2:29 p.m. 4.5


Chetan Rama

I really can't understand the difference between Bicornuate Uterus and Septate Uterus? Please explain if anybody could!

Aug. 25, 2018, 9:25 p.m. 4.5


Radhika Singh

I have painful cycles and the intimacy is painful too, does that mean I have a bicornuate uterus?

Aug. 23, 2018, 3:49 p.m. 5.0


Conor Rigby

My wife has a bicornuate uterus but she never had any problem with a pregnancy and delivery.

June 11, 2018, 4:12 p.m. 4.5


Shammy Shell

I try learning something new every day and it was completely rare and informative. Thanks for sharing the article.

May 19, 2018, 2:10 p.m. 4.5


Elzanne Pretorius

I have a bicornuate uterus, diagnosed when I was 19 with a pelvic exam. I'm 27 now and have 2 babies both carried till full term. Also, I had natural birth both the times with no complications.

May 17, 2018, 10:02 a.m. 4.5

View all comments

Leave a Comment



The information displayed on this webpage covers general information on several medical conditions, fertility treatments, IVF ICSI, surrogacy procedure, home remedies, and their respective treatments. The exclusive purpose of the displayed information is for the sake of general understanding and it has been collected from open sources which heavily rely on research and laboratory tests. However, the information shared here should not be considered as a medical advice or an alternative to consultation with a registered medical practitioner or licensed healthcare professional.

It is not advised to self-diagnose or treat any medical condition or disease following the information given in this article. We insist you to consult a registered practitioner and never try to replace their advice or discontinue treatment in between by relying solely on the information obtained. External links to different websites as well as videos given on the website serve the purpose of sharing knowledge only. Ela being an Independent Medical Information platform is neither responsible nor guarantees the authenticity, reliability, and accuracy of these videos and websites in any way. We do not intend the information displayed here to be used for a medical emergency, if you seek medical attention for yourself (or any other person with whom you want to share the information with), we advise you to directly get in touch with the hospital or the doctor.

Related Article view all

Fertility Basics
How are surrogate mothers screened?
Dr. Bhavna Banga
Dr. Bhavna Banga 4.8 (6 Votes)

How are surrogate mothers screened?

A surrogate mother is expected to be prepared for the upcoming pregnancy and to have a total commitment towards the process. Checking surrogate mothers medical history, previous pregnancy history, current medical report including blood tests and hormone tests, family background and her mental stability to carry a child are the some of the ways to screen a surrogate mother.

Read More

Fertility Basics
PCOS and Infertility - How to Get Pregnant With PCOS
Dr. Pranay Shah
Dr. Pranay Shah 4.8 (6 Votes)

PCOS and Infertility - How to Get Pregnant With PCOS

Women suffering from PCOS find it very hard to get pregnant because of irregualrity in the menstrual cycle and ovulation. But it is possible to get pregnant with PCOS by following healthy diet and starting medications such as clomid, letrozole or gonadotrophins. If nothing works, then one can opt for Ovarian Drilling and Fertility treatment (IVF).

Read More

Fertility Basics
Can Clomid Tablet Result in Twins or Multiple Births?

Can Clomid Tablet Result in Twins or Multiple Births?

Yes, the clomid tablet can result in twins or multiple births. There are 5 to 8% of chances of conceiving twins while being on Clomid as compared to natural twin pregnancy, which has just 1 to 2% chances. Intake of Clomid results in the overproduction of egg stimulating hormones, which further causes, the release of more than 1 egg from the ovary.

Read More

More From Author

Zika Virus A Threat to Pregnant Women

Zika Virus A Threat to Pregnant Women

Centre for Disease Control and Prevention(CDC) has been for so long...

Read More

7 Weeks Pregnant, Time to Reveal the Secret

7 Weeks Pregnant, Time to Reveal the Secret

If you are 7 weeks pregnant and you have still kept it a secret, th...

Read More

Fertility Boosters
Physical Factors To Consider Before Donating Sperm

Physical Factors To Consider Before Donating Sperm

Donating sperm can enrich many lives and fulfill their dreams of ha...

Read More

Trending Articles


5 Best Surrogacy Doctors in India

Find the list of best surrogacy doctors in India who offers the best treatment with the highest success rate. The list has been categorized on the basis of doctors fame, experience, reviews, ratings, and cost. Dr. Mohit Saraogi from Saraogi Hospitals and IRIS IVF Centre and Dr. Kaberi Banerjee from Advanced Fertility Centre top the list of the best surrogacy doctors in India.

Read More 4.5 (1 Votes)


Best IVF Doctors in India with Highest Success Rates

Find here the list of best IVF doctors in India on the basis of Ratings, Success Rate, Services offered, IVF cost packages and available Facilities. Dr. Nisha Bhatnagar, Dr. Kaberi Banerjee and Dr. Anjali A Deval top the list of such IVF doctors in India due to their unique pricing system, popularity and high success rate.

Read More 4.7 (3 Votes)


Top Surrogacy Centres in India with Highest Success Rates

In this article we bring you the best Surrogacy Centers and clinics in India with Review Ratings, Cost Estimates, and Surrogacy Success Rate to help you make the best choice. Aveya IVF and Surrogacy Centre and Advanced Fertility and Surrogacy Centre tops the list of such surrogacy centres in India due to their low treatment costs, popularity and high success rates.

Read More 4.8 (2 Votes)