The Egg Whisperer Show1 Apr 2021

Will having a bicornuate uterus lead to recurrent loss? (Ask the Egg Whisperer)

Emily recently wrote in to "Ask The Egg Whisperer," and here's what she wrote: "Hi Dr Aimee! I was diagnosed with endometriosis following hysteroscopy. I have a known bicornuate uterus and from genetic screening my husband was found to have MTHFR and I am a carrier. I was able to conceive immediately following surgery. I started spotting and ended up with a missed miscarriage following a normal ultrasound at 10 weeks. My immune panel and path on the tissue was all normal. Will having a bicornuate uterus lead to recurrent loss?"

I'm glad that Emily sent in her question! When it comes to a uterine malformation, I always also want to know a lot about the uterine cavity, and about the fallopian tubes.

Sometimes people are labeled as having a bicornuate uterus when they really have a septate uterus, so be sure to get your images from your surgery. I would go to a fertility specialist, sit down with them and say, have you ruled that out? Adenomyosis? Have you ruled out a uterine septum?

Women who have a uterine malformation like a bicornuate uterus are also at higher risk for endometriosis. Emily already told us that she has endometriosis. In that case, it may not be a bad idea to talk to your doctor about how severe your endometriosis is. Ask whether you should preserve your fertility now at your young age of 30 and make some embryos so that you can then go on to have more options for the future, because we know when it comes to endometriosis, things don't often get better. It's kind of like catch 22: if you get pregnant, then it treats your endometriosis. But when you have endometriosis, it's hard to get pregnant.

Tune in for this full answer, and the answer to 20 more questions.

To submit your own question to Dr. Aimee for a future episode of Ask The Egg Whisperer, click here.

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