Does uterine congenital malformation affect the fetus?

Patient's question:

Currently, in general:
Doctor, hello! I have been pregnant for one and a half months. The other day, I had an ultrasound examination, and the result said that my uterus has a congenital malformation, with two uterine cavities, and the rest is normal. Could this affect the fetus? Will it cause fetal malformation?

Doctor's answer:

Uterine malformations can affect embryo implantation. For an embryo to implant, there must be sufficient space, as it needs to survive in a single room. If it's divided into two rooms, it cannot survive. This is the common clinical condition known as uterine septum. Such patients require surgery because the uterine space is not large enough to allow embryo development.
There is another condition where the uterus originally has two horns. Some patients have one horn missing, while the other horn remains as a single cavity, which we call a unicornuate uterus. This type of uterus is smaller and can support pregnancy, but it cannot carry the pregnancy to full term. This is a congenital malformation, resulting from poor development.
There are many other malformations, such as a saddle-shaped uterus. This is another condition that can affect pregnancy, and the degree of impact varies depending on its severity.

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