Some women have a heart-shaped uterus, there may be problems in conceiving – bicornuate uterus meaning symptoms and treatment

how common is this problem

Problems with uterine abnormalities such as a bicornuate uterus are more common but are still considered rare. Less than .5% of baby girls have this type of uterus at birth. Most women or girls are not aware that their uterus is abnormally shaped. It is detected only after getting pregnant or having an abortion.

What are the symptoms of bicornuate uterus?

Symptoms of this problem include repeated miscarriages (usually more than three), vaginal bleeding, painful periods, pain during intercourse (dyspareunia), pelvic pain. In some cases, the woman may not realize that she has this type of uterus because she does not feel any symptoms. Since you were born with a bicornuate uterus, the symptoms may seem normal to you.

What is the cause of bicornuate uterus?

A bicornuate uterus is congenital, meaning you were born with it. The uterus of the fetus develops inside the womb and it develops between 10 and 20 weeks of pregnancy.
During development, the two ducts (called Müllerian ducts) normally join together to form a uterine cavity. In the case of a bicornuate uterus, two uterine cavities are present because the ducts do not fuse together completely. The heart shape of a bicornuate uterus can be profound or it can be minor and never cause any problems.
In most cases, this condition does not need to be treated surgically.

What is the treatment for bicornuate uterus?

A bicornuate uterus can be treated through a surgery called metroplasty. But, this procedure is controversial and is only done in specific circumstances. This surgery can be done laparoscopically which does not require a large incision. Surgery involves removing the tissue that is causing the indentation or heart-shaped appearance.
People should wait at least three months before trying to conceive after having metroplasty.

can it be pregnant

According to Clevelandclinic.org, women can still have children despite having this condition. However, you are at higher risk for pregnancy complications. This is mostly due to the uterus not being able to accommodate the baby. You can also ask your doctor about how this type of uterus can affect your pregnancy, delivery and baby.

Reference:
https://my.clevelandclinic.org/health/diseases/22798-bicornuate-uterus
https://www.ncbi.nlm.nih.gov/books/NBK560859/#:~:text=A%20bicornuate%20uterus%20is%20a,preterm%20labor%20are%20most%20common.