HomeAnswersInfertilitybicornuate uterusWhich uterine abnormality is responsible for my miscarriages, arcuate or bicornuate uterus?

Based on the hysteroscopy and MRI, please suggest whether I have arcuate or bicornuate uterus.


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Sameer Kumar

Medically reviewed by

Dr. Vinodhini J.

Published At May 22, 2020
Reviewed AtJune 7, 2023

Patient's Query

Hello doctor,

I would like to get a third opinion in regard to categorizing which uterine abnormality I possess. The initial doctor said it is arcuate. My current doctor thinks it is bicornuate but I am going to do a 3D ultrasound in the middle of my next cycle to get a better idea. I have MRI and hysteroscopy photos to provide. I have had two missed miscarriages, the last one hemorrhaged two days before going septic and sent me to the ER for five days. I have also been diagnosed with a placental site nodule on my right side where both pregnancies have been. Could my problem be surgically corrected?

Currently, we are going through genetic, blood clotting disorder, and menstrual cycle/hormone monitoring. Genetic counselor said low risk for any genetic causes but is still waiting to complete the blood tests which should be done in four weeks, same for the blood clotting tests.

Answered by Dr. Sameer Kumar


Welcome to icliniq.com.

Having gone through the MRI pelvis and hysteroscopy pictures (attachment removed to protect patient identity), it is evident that you have a bicornuate uterus with a single cervical opening and it is not a septate uterus or an arcuate uterus. Two different horns of uterus are evident on MRI (magnetic resonance imaging), indicating the bicornuate abnormality.

The option which you have is called Straussman's operation where both the horns can be cut in the centre and joined to make a single uterine cavity. You may discuss the option with your gynecologist and make a decision.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sameer Kumar
Dr. Sameer Kumar

Obstetrics and Gynecology

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