Patient's question:
Does a double uterus affect fertility?Doctor's answer:
Generally speaking, in two uteri, one is usually well-developed while the other is underdeveloped. Bicornuate uterus is a condition where the bilateral paramesonephric ducts fail to fuse completely during embryonic development, resulting in the formation of two separate uteri and two cervixes, with the vagina also completely separated. Each uterine horn has its own simple fallopian tube and ovary. Women with a bicornuate uterus typically experience no symptoms, and the condition is often discovered incidentally during artificial abortion, prenatal examinations, or childbirth. Bicornuate uterus patients are prone to miscarriage, premature birth, and abnormal embryo development. Moreover, both uteri can function in ovulation and fertilization. If a fertilized egg implants in an abnormal uterus, the risk of miscarriage is extremely high. Bicornuate uterus may also lead to heteropaternal superfetation. Additionally, some bicornuate uterus patients may have a longitudinal septum in the vagina, which could affect sexual life and cause sexual pain.1. Avoid excessive fatigue, especially during menstruation, and ensure adequate rest. Eat more vegetables and fruits while reducing the intake of spicy foods.
2. For treating uterine malformations like bicornuate uterus, the electronic hysteroscopic and laparoscopic cold knife fusion technique is used. A horizontal incision is made from one uterine horn to the opposite horn, the muscular wall is halved, and the left and right incision edges are sutured together.