Bicornuate uterus

　　Bicornuate uterus is a uterine malformation, mainly caused by the influence and interference of the two lateral mesonephric ducts during the process of evolution. They may stop developing at different stages of evolution, forming various malformations of the uterus.

    Bicornuate uterus often coexists with poor uterine muscle development. During delivery, dystocia or even uterine rupture may occur due to abnormal labor force and difficulty in cervical dilation. This condition can lead to abortion and infertility, which should be highly emphasized by clinical doctors and patients.

　　Some patients with uterine malformations may have no自觉 symptoms, and there are no abnormal manifestations in menstruation, sexual life, pregnancy, and delivery, so they may not be discovered throughout their lives or may be discovered occasionally during physical examination. However, some patients may have varying degrees of impact on the function of the reproductive system, and symptoms may appear when they reach sexual maturity, get married, or during pregnancy and delivery, leading to discovery.

　　1. Abnormal menstruation:Patients with bicornuate uterus often have excessive menstrual flow and prolonged menstrual duration.

　　2. The uterus often causes abortion, ectopic pregnancy, preterm birth, or abnormal fetal position after pregnancy.

　　3. Pathology during labor and postpartum:Abnormal uterine development often coexists with poor uterine muscle development. During delivery, dystocia or even uterine rupture may occur due to abnormal labor force and difficulty in cervical dilation. Vaginal delivery may result in placental retention, postpartum hemorrhage, or postpartum infection. In patients with bicornuate uterus, bleeding may occur after delivery due to the shedding of decidua from the non-pregnant uterine cavity.

　　Preventive measures for bicornuate uterus, for pregnant women who have had multiple abortions, attention should be paid to continuously understand the length of the cervix during pregnancy. This is very simple, during each prenatal ultrasound examination, hold urine and take a look at the length of the cervix. If the cervix length is less than 3cm, it is possible to have cervical insufficiency. When accompanied by amniotic sac funnel-like changes, it is necessary to diagnose cervical insufficiency in time and perform cervical suture operation. In other words, it is like stitching a bag to prevent the contents of the uterine cavity from falling out. Multiple abortions can damage the endometrium, causing the fertilized egg not to implant in the normal position and move down, forming placenta previa, causing hemorrhage during pregnancy. Therefore, it is necessary to remember to have a prepared pregnancy and not to have an abortion at will to avoid leaving future problems.

  　　Some patients with bicornuate uterus may have no自觉 symptoms, and menstrual periods, sexual life, pregnancy, childbirth, and other aspects may show no abnormalities, leading to lifelong undetected. In the diagnosis, in addition to relying on clinical manifestations, auxiliary examinations are also needed. Patients can undergo three-dimensional ultrasound scanning or magnetic resonance imaging to help clarify the diagnosis.

　　Eat:(1) Eat foods rich in collagen. (2) Eat foods containing tendons. (3) Eat foods containing protein.

　　Avoid Eating:(1) Avoid eating cold and cool vegetables and meats. (2) Avoid eating irritant foods. (3) Avoid eating heavy and indigestible foods.

　　1. Traditional Endocrine Treatment:Take endocrine regulating drugs according to endocrine conditions, but many years of experience show that this treatment method has little effect.

　　2. Hysteroscopy Treatment

　　3. Dr. Chen Fenglin of Beijing Antai Hospital researched and invented the 'Uterine Fusion Technique':The most common and effective indication for the repair surgery of uterine malformation is symmetrical bicornuate uterus. Patients with repeated miscarriage should undergo surgery as soon as possible. Make a transverse incision from one uterine cornu to the opposite cornu, cut the muscle wall in half, and suture the incisions on both sides together.