Re: BICORNUATE UTERUS
From: anneminke (anonymous@obgyn.net)
Thu, 8 Apr 1999 09:04:06 -0500 (CDT)
Sarah,
I'm not a doctor, but from my own experience I can tell you that the
best way to see if you have a bicornuate uterus or a septate uterus is
by doing an HSG (Hysterosalpingogram) and a hysteroscopy. The last
option is the surest way. I had an HSG and they still suspected I had a
bicornuate uterus. Only after the hysteroscopy was done, it was really
clear that it was a septate uterus.
The septum has been removed by hysteroscopic surgery (combined with
laparoscopy) and seven months later I was pregnant!
Hope this helps!
--
Anneminke
At Thu, 8 Apr 1999, SARAH wrote:
>
>I have had 3 misicarriage's 9/86, 6/98, 3/99. The doctors related the
>2nd one with just this happens you have nothing to worry about you
>normal have one cycle then you can try again. During the second
>miscarriage I had some bleeding so they sent me to the radiologist to
>have a obstertrical sonogram and then is was noted the crown rump length
>measured 22mm which approximated to 9 post menstrual week of age. Fetal
>heartbeat was documented with M-mode. There were no identifiable
>complication. There was a suggestion for the possibility of a
>bicornuate uterus withe the gestation in the left horn. There were no
>specific identifiable complications. I miscarried a week later. The
>docter informed me 3 weeks later that I was normal had nothing to worry
>about have a cycle then I could get pregnant again. 25Dec98 pregnant
>again every thig seem to be fine had a little spotting in Feb99 got
>nervous they did a obstetrical sonogram noted in my file findings are
>consisten with a bicornuate usterus. There is a gestatinal sac with a
>fetal pole and yolk sac in the left horn of the bicornuate uterus. By
>the crown-rump lenth the fetus is 6 weeks and 5 days. by the sac size
>the fetus is 6 weeks and 4 days. Heart rate of 125 BPM is present,
>again note in the left horn of what appears to be a bicornuate uterus.
>3Mar99 in the evening had some bleeding was scared went to the emergency
>room they check my hcg level and was normal for 10 weeks informed me
>that I was having a threated miscarriage but my cervix was closed which
>was good, and they mentioned that I was passing old blood which I have
>no idea what that means, they tried to hear a heart beat but could'nt
>but told me not to worry that it might be a little early. Informed to
>go to the docoters the next day and have a sonogram. My doctoer saw me
>the next day examied me and stated that my cervix was closed which was a
>good sign and that I was passing old blood, they never explaind what old
>blood ment. He wanted to see if he could get a heart beat and he did so
>he felt good that I did'nt need a sonogram. That evening I had real bad
>cramps and was passing blood more heavier than before, went to the
>doctor's the next day and the doctor could not hear a heart beat. I had
>to go get a sonogram and there finding were there is a uterine
>enlargement with a bicornuate uterus present. There is a prominece to
>the endometrum in the right side of the bicornuate uterus. On the left
>there is and area of mixed echogenicity with a central rounded
>hypoechoic core measuring about 20mm. No formed intrauterind pregnancy
>is seen in the left horn of the bicornuate uterus. I found out that the
>sac was empty, kind of socked because I never saw the fetus that night
>which the miscarrige before I saw the fetus. I was told that I had to
>go back to the doctor's office, so I went back there and all the
>doctor's were busy or were not there I talked to a mid wife and she told
>me that they thought that I have a bicornuate uterus that she was real
>sympathetic told me that there was some other testing that they could do
>blod work and other things, but I realy can't rember. Asked me if I
>wanted a D&C and I said yes, because in Jun98 I took some pill to pass
>everything and it was very painful. She left her office to fined out
>who was on call for the weekend and was trying very hard for me to have
>the D&C on that friday night or the next morning, but the docter on call
>that weekend would for what ever reason would not do the D&C. they made
>me wait until Monday. The mid-wife felt really bad for me and said if I
>was any pain over the weekend to call and the docter that was on call.
>early sunday morning I new it was coming very, very bad cramps it was
>like a big fat pole was stuck and I new what was happening I had been
>there before. finally called the docter's office and left a message I
>hated to do that because it was 5:30 in the morning, she called me back
>and said that I was scheduled for the D&C on monday for the pain to take
>3 or 4 montrin every two to three hours that is was probably just
>passing some tissue, so she new I was in pain. but really did'nt feel
>any symthy for me, I was very frustrated but new I really could'nt do
>anything. I had the D&C on monday but I felt like why even bother since
>I knew that I had passed the large stuff. Had the D&C on the 8th of
>March, had my post op visit on the 16March and the doctor said that the
>D&C went fine and that there was still some tissue left when he did the
>D&C. Asked me if I had any questions and I said when I had the sonogram
>on the 5th of Mar there had been some statement of a bicornuate uterus
>and he made the statement that there that was not for sure and if I
>wanted to I could have a sonogram done in 3 to 4 weeks. And even had
>the nerve to ask me if I wanted to go back on the pill I said no way, I
>had been of the pill since I was 28 and I'm now 31 and would like to
>have children. Then he made the comment well at least you know you can
>get pregnant. I did'nt think that was the right time to say that. he
>gave me a referel to have a sonogram. I felt very discouraged when I
>left there because he didn't give me any ideas or test that could be
>done. He also made the comment that the miscarrige was not caused by
>the bicornuate uterus because I was only 11 weeks and usually with a
>bicornuate uterus is happens later on like 20 to 27 weeks. So I left
>there real discouraged. Called my primary docter made a visit with her
>and I being referred to another docter, which will be on 13Apr99.
>Somewhat anciaous and nevous, had another sonogram on the 6Apr99, the
>radiologist was somewhat confused why I was there because they had done
>the last sonogram and had noted the bicornuate uterus. I said I'm just
>doing what the docter had requested and told me to wait a few week until
>my uterus was out of the pregnant mode. She looked and said that it was
>a bicornuate uterus but seemed somewhat confused and called in the
>docter that had done the other sonograms and said that it was a tough
>call but then determined it was a bicornuate uterus. My docter's
>appoinment is on the 13Apr99 with a new docter my sonogram results will
>be sent there and I'm bringing my file. I have done some reading and
>from what I'm finding out there is a bicornuate Uterus and a Septate
>uterus. In my file when the D&D was done he wrote findings irregular
>cavity. A septum may have been palpable to curettage. entered the
>other side of the septum which was the other horn of the uterus.
>
>My question is can you tell just by a sonogram that it is a bicornuate
>uterus or a Septate uterus? From what I have read the only way you can
>tell if it is bicornuate or septate you should have laparoscopy, is that
>true? Septate uterus has not even been mentioned for me. but from what
>I've read I'm kinda of hoping for a Septate uterus.
>
>Do I have any options? what kind of questions should I ask the docter
>and are there any other test that can been done? Is there any hope? I
>will keep trying.
>
>Sorry this is so long and drown out but I would like to find some
>answers and some help, my time clock is ticking, I'm very determined.
>
>What kind of questing should I ask?
>
>Thanks Sarah moffett
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