Uterine Abnormalities

IVF babyUterine abnormalities can impact fertility. They may interfere with implantation or make it difficult to carry a pregnancy to term.

What Are Uterine Abnormalities?

Some uterine anomalies are present at birth. These congenital uterine defects include:

  • Uterine Septum –tissue partially or completely dividing the uterus
  • Bicornuate – heart-shaped uterus with a single cervix
  • Unicornuate– a uterus that has developed only on one side and is very small
  • Didelphys (double) – rare condition where two separate uterine structures develop, often with a duplicate cervix and/or vagina
  • T-shaped – sometimes linked to children of mothers who received DES, a drug given decades ago to prevent miscarriage

Acquired uterine abnormalities develop later and include:

  • Polyps –cell overgrowth on the inner wall of the uterus extending into the uterine cavity
  • Fibroids – noncancerous tumors inside the uterus
  • Scarring or Asherman’s Syndrome – scars in the uterus caused by trauma, surgery or infections

Cervical Factor – Poor quality cervical mucus or the presence of antisperm antibodies can inhibit fertility.

How Are Uterine Abnormalities Diagnosed?

Diagnostic tests include a special uterine x-ray called a hysterosalpingogram (HSG), a hysteroscopy procedure to look inside the uterus, ultrasound or sonohysterogram (water ultrasound).

What Are Some Treatments For Uterine Abnormalities?

Not all uterine abnormalities require treatment. A consultation with an infertility specialist will help to determine if surgery is required. If surgical correction is not possible, a surrogate or gestational carrier may be a solution in rare situations.

Dallas-Fort Worth Fertility Associates cares for women with uterine abnormalities in Southlake, Keller, Grapevine, Colleyville, Denton and their surrounding areas.

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