WOMENS-HEALTH Messages for April, 1999: Re: Bicornuate Uterus........Is SURGERY my ONLY option?!?!??

Re: Bicornuate Uterus........Is SURGERY my ONLY option?!?!??

From: William D. McIntosh, MD (anonymous@obgyn.net)
Tue, 27 Apr 1999 16:17:53 -0500 (CDT)

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At Mon, 26 Apr 1999, Sela wrote: >
>I have had 2 early miscarriages (6 and 9 weeks). I have had an HSG
>which shows a bicornuate. (I guess the best way to describe my uterus
>is like a pair of floppy bunny ears........) Is surgery my ONLY option?
>Isn't there anything else that can be done? Is it possible to have
>miscarriages and then carry a baby long enough for it to survive? Has
>ANYONE ever heard about women with bicornuates that have had a baby
>after miscarriages?
>My doctor thinks that with my history, surgery is a good option. I
>would like to avoid this if possible. I don't know where to find
>information on the surgery or women with bicornuate uteruses. I have
>read all the messages on Special Delivery and still don't have very much
>information. Can anyone help????????

The majority of pregnancies in women with bicornute uteri are OK, though there is a higher incidence of miscarriage, preterm labor, and malpresentation (breech). For that matter, the majority of women that have had 2 miscarriages in a row will have a normal pregancy the next time.

I am not aware of any treatment other than surgery for the bicornute uterus with recurrent miscarriage, so the choice is not what treatment to use, but rather whether to treat (surgery) or not to treat (continued trials of pregnancy, hoping that one will take). I don't mean to sound harsh, its just that your options are limited. In the end, the question that you have to answer is "What is worse, the surgery, or another miscarriage?" Only you can provide the answer.

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: Beverly: "Urethral Syndrome"
Previous message: William D. McIntosh, MD: "Re: Having a D & E"
In reply to: Sela: "Bicornuate Uterus........Is SURGERY my ONLY option?!?!??"
Next in thread: Tisha: "Re: Bicornuate Uterus........Is SURGERY my ONLY option?!?!??"

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