What Are Uterine Abnormalities?

Uterine abnormalities differ from conditions that affect the uterus, in that they describe congenital defects of the womb itself. Simply put, a uterine abnormality means that your uterus formed in an unusual way before you were born. There are often no symptoms or signs of discomfort, meaning many women only discover these abnormalities as a result of miscarriage, unusually heavy bleeding, or difficulties conceiving.

Uterine abnormalities are quite common, though the effect that they have on pregnancy is not always clear; depending on the shape of your womb, there may be a greater risk of miscarriage or premature birth, or you may have difficulties carrying a baby to term. Though these abnormalities may seem frightening, many women successfully get pregnant and have healthy children, and your healthcare professionals will be able to support you during pregnancy to minimise risks.

Some known abnormalities include:


How Are Abnormalities of the Uterus Diagnosed?

It is unlikely that women with a uterine abnormality will know about it when they become pregnant, as it is unlikely they will have physical symptoms. You may only know when you have difficulty conceiving, or you have miscarried. Some women may find out during gynaecological examinations to investigate the cause of problems like chronic pain, ovarian cysts, fibroids or recurrent miscarriage. A more noticeable abnormality such as a double womb or a unicornuate womb might be identified during routine pregnancy scans or examinations, but it may be harder to identify milder abnormalities.

Investigations typically might include a hysteroscopy, a laparoscopy, or a three-dimensional pelvic ultrasound, the details of which are outlined below:


What Treatments Are Available for Uterine Abnormalities?

Treatment for uterine abnormalities will vary depending on what kind of abnormality you have been diagnosed with. Surgery is an option, though this can sometimes lead to later infertility and problems occurring during pregnancy. If your womb is identified as abnormal before pregnancy, your gynaecologist will discuss treatment options with you if you plan to become pregnant in the future. If a uterine abnormality is discovered during pregnancy, you will likely be put in the care of an obstetric team, and receive extra scans and hospital visits to ensure the health of your baby throughout the pregnancy.

If you know you have a uterine abnormality, you may be afraid during your pregnancy, especially if you have had complications in the past. It is important to go to all your appointments to receive your tests and scans, and if you feel something is wrong, contact your hospital or healthcare professional right away. Even if nothing is wrong, it is much better to raise a false alarm than ignore your anxieties—and your healthcare professionals would rather make sure that you and your baby are safe.


If you are experiencing abnormalities in the uterus , make an appointment with Dr.Nicole Stamatopoulos here.