HomeAnswersInfertilitymiscarriageIs it necessary to look into arcuate uterus for miscarriage?

Can miscarriage occur due to an arcuate 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.

Medically reviewed by

iCliniq medical review team

Published At December 7, 2015
Reviewed AtApril 22, 2024

Patient's Query

Hi doctor,

I am a 29 year old female. I am trying to conceive for almost a year. In this time, I have had three miscarriages at 4 weeks, 6 weeks and 5 weeks respectively. With my last pregnancy, I was also on Baby Aspirin 75 mg and Progesterone 400 mg. But, it did not make any difference. I have been recently diagnosed with Grave's disease. During the last pregnancy, I had overt hyperthyroidism. Thyroid antibodies were ATPO 115 (elevated), anti-Tg 33 (mildly elevated) and TRAb 5.8 (elevated). I had a thrombophilia panel done which was clear, with only being heterozygous for MTHFR A1298C which I was told is not an issue. I was advised to have an APS panel and ANA. Shall I take Prednisone 10-15 mg to help with immune issues? In the meantime, I discovered that I have an arcuate uterus from an older MRI. I have read online that an arcuate uterus can be a cause of recurrent miscarriages, as it is a variant of a subseptate uterus. I will attach a photo of that MRI. My question is, if the APS panel is clear and I continue to lose pregnancies two to three times despite having my thyroid under control, is it reasonable to look into the arcuate uterus issue? If so, shall I go for hysteroscopic metroplasty to repair it? Is it a safe procedure? Will it help with my fertility?


Welcome to icliniq.com.

  • From the MRI picture attached (attachment removed to protect patient identity), it does not appear to be an arcuate uterus. Arcuate uterus generally has fundal depression from outside.
    • It neither appears to be a septum. Just ostia are deep seated giving appearance of septum/arcuate uterus.
      • Even if it is arcuate uterus, such things normally does not lead to recurrent pregnancy losses. So, correction is not warranted.
        • Once TSH (thyroid stimulating hormone) levels come to normal, you can try to get pregnant. Take support of Baby Aspirin and Progesterone. We normally do not prescribe steroid unless patient does not respond to Aspirin and injectable Enoxaparin in case of antiphospholipid syndrome.

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

default Img
Dr. Dattaprasad Balasaheb Inamdar

Obstetrics and Gynecology

Community Banner Mobile
By subscribing, I agree to iCliniq's Terms & Privacy Policy.

Read answers about:

arcuate uterusmiscarriage

Ask your health query to a doctor online


*guaranteed answer within 4 hours

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.

This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy