Slight bicornuate uterus

A bicornuate uterus develops when the two early parts that form the uterus do not join completely, leaving a dip at the top and two upper cavities. The word slight describes the degree of the external indentation, but imaging is needed to distinguish this shape from other uterine forms. Some people have no symptoms and discover it during fertility or pregnancy imaging. Others may receive closer pregnancy monitoring because the available space and shape can affect how the pregnancy lies.

Ask which uterine shape was identified and whether the diagnosis is confirmed with suitable imaging. If you are pregnant or planning pregnancy, discuss an early care plan and the scans your clinician recommends. Treatment is not automatically needed for a slight finding. A pelvic MRI may clarify the anatomy when ultrasound does not provide enough detail. Keep records of prior pregnancy outcomes and symptoms to help guide decisions.

Contact your clinician for recurrent pregnancy loss, difficulty conceiving, unusual pelvic pain or concerns during pregnancy. During pregnancy, seek urgent help for heavy bleeding, severe pain, leaking fluid, regular painful contractions or reduced fetal movement after you have been told to monitor it. The uterine shape does not predict an emergency by itself; symptoms and pregnancy assessment determine urgency.

Ask whether the finding is definitely bicornuate, whether a pelvic MRI would add useful detail, how it may affect pregnancy monitoring, and whether any treatment is indicated for your situation.