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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Makes Uterus Appear Bicornuate In Ultrasound?

Hi, may I answer your health queries right now ? Please type your query here...I just wanted to know what can make a uterus appear bicornuate on an ultrasound? I have had a DNC and an ablation 1.5 years ago, but I am suffering with frequent abdomoinal and vaginal pain (and pressure). I am having pain with intercourse (and sharp pain with orgasim). My periods was absent for a 6 month time span, but has returned and is ongoing (somedays it is very light appearing as a bloody discharge only). Also I have noticed I usually have tissue that has passed after urinating. With frequent UTI and kidney infections. I am also starting to have bladder pressure. Sorry to be so lengthy, but I am having many problems and they are progressing. Please help!
Thu, 18 Sep 2014
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,
I will address your issues one by one.

A urine routine and microscopy should be done to look for infection in the urinary tract.
If infection is present, urine culture and drug sensitivity should be done.
The urine examination is necessary to identify the infection and start appropriate treatment for it.
A previously normal uterus (I assume) which is appearing bicornuate on ultrasound with history of DNC, ablation, abdominal and vaginal pain can be due to formation of adhesions.
Adhesions can be responsible for appearance of bicornuate uterus on ultrasound.

Thus, consult your gynaecologist for further investigations.
Hysterosalpingography can be done to delineate the uterine cavity and fallopian tubes.
In case adhesions can are present, they can be removed by a simple procedure.

Thanks and take care
Dr Shailja P Wahal


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What Makes Uterus Appear Bicornuate In Ultrasound?

Hello and welcome to HCM, I will address your issues one by one. A urine routine and microscopy should be done to look for infection in the urinary tract. If infection is present, urine culture and drug sensitivity should be done. The urine examination is necessary to identify the infection and start appropriate treatment for it. A previously normal uterus (I assume) which is appearing bicornuate on ultrasound with history of DNC, ablation, abdominal and vaginal pain can be due to formation of adhesions. Adhesions can be responsible for appearance of bicornuate uterus on ultrasound. Thus, consult your gynaecologist for further investigations. Hysterosalpingography can be done to delineate the uterine cavity and fallopian tubes. In case adhesions can are present, they can be removed by a simple procedure. Thanks and take care Dr Shailja P Wahal