Patient's question:
All the tests related to natural miscarriage have been conducted, except for negative () and uterine malformation, no other causes have been identified. The six endocrine tests have been normal every time. The bicornuate uterus was diagnosed by hysteroscopy at a third-class A hospital in the prefecture-level city; the arcuate uterus was diagnosed by three-dimensional color Doppler ultrasound: transabdominal + transvaginal + color Doppler ultrasound. Now, my monthly menstruation is very normal. At my current age, can I still get pregnant? I look forward to your reply. Thank you!!!!!!!!!Doctor's answer:
Hello:Due to abnormal embryonic development, the uterus of some women can become malformed. There are many types of uterine malformations, such as: bicornuate uterus, didelphic uterus, septate uterus, unicornuate uterus, and rudimentary horn uterus, etc. In most cases, pregnant women are unaware that they have a uterine malformation until it is discovered during a gynecological examination for some reason, such as an induced abortion, abnormal shape of the pregnant uterus, difficulty in fetal descent during delivery, or due to repeated miscarriages or preterm labor. When women with uterine malformations become pregnant, the risk of miscarriage and preterm labor increases, and active fetal preservation measures should be taken. During pregnancy, attention should be paid to the presence of abnormal, as uterine malformations are associated with a higher incidence of abnormal positions such as breech presentation. Pay attention to whether the shape of the uterus is normal, such as a bicornuate uterus, which may appear saddle-shaped from the abdomen, or a unicornuate uterus, which often protrudes on one side. In cases of didelphic uterus, the non-pregnant uterus may obstruct fetal descent during labor, and poor uterine contractions are also common. Therefore, when there is a uterine malformation, the risk of delivery difficulties increases, and the likelihood of cesarean delivery also increases. With strict prenatal examinations and attention to preventing miscarriage and preterm labor, as well as appropriately selecting the mode of delivery, most pregnant women can achieve a successful pregnancy.