How can you tell the difference between a septate and bicornuate uterus?
In a septate uterus, the apex of the external fundal contour is more than 5 mm above the interostial line. By comparison, in a bicornuate or didelphys uterus, the apex of the external fundal contour is below or less than 5 mm above the interostial line (1,37,44). At MR imaging, the uterus is normal in size.
Can a bicornuate uterus be misdiagnosed?
It’s possible for a septate uterus to be misdiagnosed as a bicornuate uterus. A bicornuate uterus is one that is heart shaped. In this condition, the top portion of the uterus, or fundus, dips in towards the midline of the uterus. This dip can range from shallow to deep.
How is bicornuate uterus diagnosis?
Doctors can use the following tests to diagnose a bicornuate uterus: ultrasound. magnetic resonance imaging (MRI) hysterosalpingogram.
How can you tell the difference between bicornuate uterus and septate uterus on HSG?
Hysterosalpingogram. Accuracy of hysterosalpingogram alone is only 55% for differentiation of septate uterus from the bicornuate uterus. An angle of less than 75° between the uterine horns is suggestive of a septate uterus, and an angle of more than 105° is more consistent with bicornuate uteri.
Is a bicornuate or septate uterus worse?
The differentiation between septate and bicornuate uterus is very important. Septate uterus, the anomaly carrying the worst prognosis and associated with high incidence of miscarriage and habitual abortion can easily be treated by hysteroscopy.
How is septate uterus diagnosed?
For diagnosing a septate uterus, 3D ultrasound is better than 2D ultrasound because it gives a detailed picture of the uterus. MRI, or magnetic resonance imaging, is often used to determine if the condition is a septate uterus or bicornuate uterus.
Can you carry full term with septate uterus?
A septate uterus doesn’t normally cause problems with conception, but it does interfere with your ability to carry your baby full term. In fact, up to 40% of women with septate uteri have miscarriages.
Is a bicornuate uterus high risk?
If you have a bicornuate uterus and become pregnant, your condition could be considered a high-risk pregnancy. This means the pregnancy would be monitored more often with increased check-ups on the health and progress of the baby for the best pregnancy outcome.
How is the baby affected when I have a Septate uterus?
If you have a septate uterus, your baby is at increased risk for preterm delivery (delivery before 37 weeks gestation).
Can a septate uterus be seen on ultrasound?
A skilled ultrasonographer can diagnose the septum on a regular two dimensional (2-D) ultrasound by sweeping the probe from side to side, however a 3-dimensional (3-D) ultrasound can give an unmatched view of the uterine shape.
Can you carry a baby with a septate uterus?
Not all women with a septate uterus experience a miscarriage, but some women will go into premature labor. It is possible for you to have a healthy pregnancy even with a septate uterus.
Is it normal to have a heart-shaped uterus?
In the case of a bicornuate uterus, two uterine cavities exist because the ducts did not merge together completely. A bicornuate uterus can have a deep heart shape or it can be minor and never cause a problem. A heart-shaped uterus is not hereditary — meaning you won’t pass it on to your children.