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Gynecology (Expert Forum)
Please Help with this
Answered by
Keith Downing, MD - Obstetrics, Gynecology
MA
This forum is for questions and support regarding gynecology issues such as: Cervical Disorders, Colposcopy, Cramps, Cystitis, Fallopian Tube Disorders, Menstruation, Ovarian Disorders, PAP Test, Pelvic Exam, PID, PMS, Surgery, Tests, Ultrasound, Uterine Disorders, Vaginal Disorders.
Please Help with this
by Elizabeth1921, May 13, 2008 01:40PM
Hi my name is Elizabeth and I am 19 years old and just had my 3rd miscarriage. I went and had a Hysterosalpingogram done and the doctor said my results are:
Examination of the pelvic scout film shows no gross pelvic masses or
calcification to be present. The pelvic bony architecture is within
normal limits.
In the endometrial cavity, catheter was inserted. Sinografin was then
injected and a bicornuate uterus is identified. Both fallopian tubes
are of normal caliber with free peritoneal spillage identified.
IMPRESSION:
BICORNUATE UTERUS IN WHICH BOTH FALLOPIAN TUBES DO SPILL WITH FREE
PERITONEAL SPILLAGE IDENTIFIED
I do not know anything really about a bicornuate uterus and I wanted to know what the procedures are to fix it. I also wanted to know how long recovery is and everything I can find out. If anyone could let me know i would appreciate it.
Thank you!!
Examination of the pelvic scout film shows no gross pelvic masses or
calcification to be present. The pelvic bony architecture is within
normal limits.
In the endometrial cavity, catheter was inserted. Sinografin was then
injected and a bicornuate uterus is identified. Both fallopian tubes
are of normal caliber with free peritoneal spillage identified.
IMPRESSION:
BICORNUATE UTERUS IN WHICH BOTH FALLOPIAN TUBES DO SPILL WITH FREE
PERITONEAL SPILLAGE IDENTIFIED
I do not know anything really about a bicornuate uterus and I wanted to know what the procedures are to fix it. I also wanted to know how long recovery is and everything I can find out. If anyone could let me know i would appreciate it.
Thank you!!
Doctor's Answer
by Keith Downing, MD, May 16, 2008 11:15AM
, May 16, 2008 11:15AM
Hello,
A bicornuate uterus refers to a uterus in which the fundus (the top part) is indented (arbitrarily defined as ≥1 cm) . This anomaly results from only partial fusion of the müllerian ducts (structures in early fetal development that go on to form the uterus and tubes). This leads to a variable degree of separation of the uterine horns that can be complete, partial, or minimal
Pregnancy outcomes have been reported to be close to those of the general population. However, some women do develop complications, such as pregnancy loss, preterm labor, or malpresentations (Breech or transverse, not head down) . Surgical treatment requires uterine reunification through a laparotomy, and would require a cesarean section for delivery in a future pregnancy.
You doctor should complete your work up for recurrent pregnancy loss and consider referring you to a reproductive specialist when you are ready to pursue another pregnancy.
I suggest you Google the term: Mullerian anomalies and search some of the websites. There is a wealth of information online you can access. Try http://mulleriananomalies.blogspot.com/ as a start.
Best regards,
Dr. Downing
A bicornuate uterus refers to a uterus in which the fundus (the top part) is indented (arbitrarily defined as ≥1 cm) . This anomaly results from only partial fusion of the müllerian ducts (structures in early fetal development that go on to form the uterus and tubes). This leads to a variable degree of separation of the uterine horns that can be complete, partial, or minimal
Pregnancy outcomes have been reported to be close to those of the general population. However, some women do develop complications, such as pregnancy loss, preterm labor, or malpresentations (Breech or transverse, not head down) . Surgical treatment requires uterine reunification through a laparotomy, and would require a cesarean section for delivery in a future pregnancy.
You doctor should complete your work up for recurrent pregnancy loss and consider referring you to a reproductive specialist when you are ready to pursue another pregnancy.
I suggest you Google the term: Mullerian anomalies and search some of the websites. There is a wealth of information online you can access. Try http://mulleriananomalies.blogspot.com/ as a start.
Best regards,
Dr. Downing
