deformed uterus

  I had bleeding when I was 8 weeks pregnant.  I went to the hosipital and was told that the baby did not have a heart beat and a DNC would have to be preformed.  When in the operation room a simple DNC took longer than normal.  After waking up my doctor told me that he was unable to get the fetus out and explained that the fetus was in some kind of "pocket" in the uterus and the only thing I could do was wait and let the fetus leave my body normally.  I finally miscarried a month after I found out the baby had no heart beat.  Later a hystercopy was preformed to see what condition the uterus was in.  The test came back and my uterus is deformed, or shall I say half of one, turned upside down.  When I asked about child in the furture, I was told it my take several pregnancies to make the uterus big enough to carry a child.  Is this true and are there any procedures that can be done to the uterus, for example plastic surgery?

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Dear Kim:
The human uterus is formed from two half-uteri that grow side-by-side and then the wall separating them is dissolved so that a single uterus with double the inside room is created.
A woman can be born with only 1/2 of the uterus. The other 1/2 ususally exists as a small block of tissue with the fallopian tube attached and no connection into the vagina. Only the 1/2 uterus attached to the vagina develops a lining each month and is able to accept an egg through the attached tube to become pregnant.
The natrual history of such patients is that they carry each pregnancy farther than the preceeding pregnancy. These ladies are ususally discovered, as in your case, because they miscarry. With the assistance of drugs to quiet the uterus (prevent the normal uterine contactions) such as beta agonists, calcium channel blockers, NSAIDs, and progesterone, the pregnancy may carry longer.
There are no "plastic surgery" procedures to make the uterus larger.
Consultation with a Maternal Fetal Medicine specialist or a Reproductive endocrinologist may be helpful.
Keywrods: Unicornuate (one horn) uterus; Hemi-uterus; half-uterus.
This information is provided for education purposes and is not a medical consultation. If you have specific questions, please speak with your physician.