Bicornuate uterus pregnancy abortion taking medicine

Can taking medicine lead to abortion if pregnant with bicornuate uterus?

A bicornuate uterus is a relatively special type of uterus. This type of uterus will cause certain harm to women's health. If you want to have a medical abortion after becoming pregnant, it is okay, but you must pay attention to strive for a successful abortion in one go and avoid the need for curettage. A bicornuate uterus can easily lead to miscarriage, ectopic pregnancy, and even premature birth and abnormal fetal position. Let us learn more about this aspect.

Can taking medicine lead to abortion if pregnant with bicornuate uterus?

Taking the abortion medicine first will make the cervix softer, and most patients can have a complete abortion directly. If the abortion is not complete and a curettage is performed, the cervix will be open at that time and it will be less painful than having an abortion directly. Secondly, for a bicornuate uterus, if oral medication is successful in inducing abortion, it can reduce direct mechanical manipulation of the uterus and reduce the risk of uterine rupture during surgery. Finally, a bicornuate uterus can affect normal pregnancy and should be examined and treated before having a child.

Bicornuate uterus

The tail ends of the paramesonephric ducts on both sides have largely joined, and the terminal septum has been absorbed, so there is one cervix and one vagina, but it is equivalent to incomplete joining of the fundus of the uterus, resulting in a protruding corner on each side of the uterus, which is called a bicornuate uterus. Patients with bicornuate uterus often experience excessive menstrual flow and prolonged menstrual periods. After pregnancy, the uterus often causes symptoms such as miscarriage, ectopic pregnancy, premature birth or abnormal fetal position.

Causes of bicornuate uterus in women

1. Double uterus: mostly double cervix, double uterus, and double vagina. This is due to the failure of the two mesonephric ducts to join.

2. Septate uterus: The paramesonephric ducts on both sides have completely merged, but the mediastinum has not degenerated. The uterus has a normal appearance and the cavity is divided into two parts. If the septum does not completely regress, an incomplete septate uterus is formed. If the mediastinum extends into the vagina, vaginal septum may form at the same time.

3. Bicornuate uterus: This condition is caused by the fusion of most of the tail ends of the paramesonephric ducts and the degeneration of the mediastinum, forming a single cervix and a single vagina. The fundus of the uterus is not completely fused and the uterus is in a bicornuate shape, so it is called a bicornuate uterus or a saddle uterus.

The latest approach to treating bicornuate uterus

Currently, the highest standard for international infertility diagnosis is the 3D pregnancy gold standard assessment system. The system was jointly created by the Chinese Academy of Medical Sciences, Peking Union Medical College Medical Laboratory Center and Huabo Asia-Pacific Infertility Research Institute. It is currently the most advanced three-dimensional infertility diagnosis and evaluation technology. It is praised by the industry as the “0” error diagnostic standard.

In diagnosis, 3D dynamic digital hysterosalpingography, 3D vaginal four-dimensional color ultrasound and 3D electronic stereoscopic hysteroscopy can be used to make a clear diagnosis. Reproductive organ malformations are often accompanied by urinary system malformations or lower gastrointestinal tract malformations. If necessary, 3D intravenous pyelography or 3D barium enema examination can be performed. It can accurately determine whether it is a bicornuate uterus, the probability of uterine morphology correction, which uterus is more capable of repair, which uterus has an attached egg-laying and ovulation system that is more comprehensive and healthy and has the conditions for pregnancy, and the pregnancy rate.