How to treat a uterus didelphys diagnosed during pregnancy

Patient's question:

Five years ago, I had an ectopic pregnancy, and two years ago, I had a miscarriage. During this period, I have had at least 10 ultrasound examinations, but none of them found any abnormalities in my uterus. Now I am 42 weeks pregnant and had an ultrasound at the Third Hospital. The doctor said there might be a possibility of a bicornuate uterus. Why didn’t my doctors ever mention that I might have a bicornuate uterus before? Before pregnancy, I even had a specific ultrasound examination of the uterus, but it also didn’t reveal any abnormalities. I would like to ask: Can a bicornuate uterus continue to carry a pregnancy? Additionally, I would like to ask: How can a bicornuate uterus be restored to normal?

Doctor's answer:

Hello. Women with a double uterus are more prone to complications such as miscarriage, premature birth, and malposition of the fetus during pregnancy. Therefore, it is recommended that you consult a doctor based on your specific situation and arrange your pregnancy and childbirth plan under the guidance of the doctor. There are no special measures to take for pregnancy with a double uterus. It is possible to have normal fertility with a double uterus, but pregnancy with a double uterus is more likely to result in miscarriage or premature birth, which requires attention during pregnancy. Additionally, women with a double uterus have a higher rate of cesarean section.

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