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An Abnormal Uterus Could Be the Reason It's Difficult for You to Conceive
PHOTO BY @Eziutka/iStock
  • Most Pinays, especially those with a regular menstrual cycle, do not know they have fertility issues until the time comes when they decide to get pregnant — and discovers it is not as easy for them. Some may even experience miscarriages. One of the most common reasons a woman may have difficulty getting pregnant is an abnormal uterus.

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    The uterus is a hollow, muscular organ in the female pelvis where the fetus develops during gestation. It is pear-shaped and has four parts: the fundus, the uppermost part, which is connected to the fallopian tubes; the corpus, or the body; the cervix, or the lower end of the uterus that is connected to the vagina, and the cervical canal.

    In some cases, a woman’s uterus may be shaped differently, and although it often does not affect one’s ability to conceive, an “abnormal uterus as it is called, may pose some risks during pregnancy.

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    The different types of uterine abnormalities

    Arcuate uterus

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    An arcuate uterus is shaped mostly like a normal uterus except that it has a slight indentation on top. 

    Bicornuate uterus

    Like the arcuate uterus, a bicornuate uterus has an indentation on top of the uterus but is more defined. This type of abnormality makes the uterus look heart-shaped.

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    Septate uterus

    In a septate uterus, the uterus is divided by fibrous walls called septum either partially or in full, which extends to the cervix. A woman with a septate uterus may find it difficult to get pregnant. 

    Unicornuate uterus

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    From the root word “uni” which means “one,” a unicornuate uterus has only one fallopian tube and has an elongated shape similar to a horn. It is said to be a rare abnormality that affects one in every 1,000 women.

    Uterus didelphys

    This type of abnormality results in the uterus having two inner cavities that each has a separate vagina and cervix. This condition where a woman has two cervixes and two vaginas is rare and affects one in every 350 women (click here to read about a recent case where the mom gave birth to three babies 26 days apart).

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    Risks of an abnormal uterus

    When a woman has an abnormal uterus, she may be prone to any of the following risks when trying to be pregnant or during pregnancy.

    • infertility
    • premature labor
    • water bag breaking early
    • a breech birth (where the baby is born bottom first)
    • miscarriage

    A woman with an abnormal uterus is likely to have a weak cervix as well. This increases risks for premature labor or a late miscarriage (where the baby is lost between the 14th and 24th weeks of pregnancy).

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    To diagnose an abnormal uterus, your ob-gyn may recommend that you undergo several tests, including a pelvic exam or a transvaginal ultrasound, among others.

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