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    Unicornuate Uterus?
    sunyflwr posted:

    Does anyone else have a uterine anomaly? Any experiences or bit of wisdom they would like to share with me? Is it causing you infertility?
    Here is my story...I had my first baby at exactly 37 weeks (due to PROM and being breech). The OB doing the surgery found that I had what appeared to be some kind of uterine anomaly. I had an MRI in January, which confirmed my uterine anomaly as a unicornuate formation to the left. I don't appear to have a significant right-sided component to my uterus. I do have two ovaries of normal size and shape. My kidneys check out fine as well.

    The OB who did my cesarean says that I shouldn't have any issues getting pregnant, or should have worries about a higher rate of miscarriage. He did suggest I ask for an early ultrasound and might need to be monitored towards the end of my pregnancy to make sure I don't go into preterm labor. But other than that, he doesn't see any need to be considered high-risk or anything else along those lines. I did some research on the internet (yes, I know I should take internet diagnosis with a grain of salt) about a unicornuate uterus, and most sources say that should be considered a high-risk pregnancy. Most sources also say that it can cause infertility. I am wondering if that OB making "light" of my condition though? A unicornuate uterus doesn't seem like a very prevalent condition??
    David K Walmer, MD, PhD responded:
    Dr. Walmer here:

    I agree with your OB's comment that the unicornuate uterus alone is not likely to be the explanation for either infertility or miscarriage. However, women with unicornuate uteri can have either or both of these issues and they should be investigated if present.

    However, you bring up a very good point for discussion. The term "high-risk" can be confusing and is sometimes misinterpreted to mean that a maternal fetal medicine specialist should be providing care. A unicornuate uterus is 'higher-risk' because it is associated with a higher incidence of both breech presentation and preterm labor. However, obstetricians are trained to take care of both of these issues and they know when to consult a maternal fetal medicine specialist. I hope this helps.
    KamaK replied to David K Walmer, MD, PhD's response:

    I had a related question. I have a unicornuate uterus and PCOS. I'm 25 years old, normal weight getting regular periods (but not sure if ovulating?). I was on metformin for about 9 months until last March; since then my insulin has been normal.

    My question is whether I should try to conceive sooner rather than later assuming we are both ready? I really want to have as natural a conception and birth as possible, and I want to know if the chances of that are higher if I do it now rather than waiting a few years.

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