Preconception Counseling in the Setting of Unilateral Cervical Atresia in a Patient with Uterus Bicornuate Bicollis: A Case Report.

BACKGROUND

Müllerian anomalies are rare congenital anomalies of the reproductive tract that may significantly impact fertility, obstetric management, and pregnancy outcomes. Thus, contraception and preconception counseling tailored to patients' reproductive goals is needed.

CASE: We describe a rare case of a sexually active patient with an atypical uterus bicornuate bicollis with unilateral cervical atresia and communication between bilateral cervices and discuss key aspects of pregnancy counseling.

SUMMARY AND

CONCLUSION

Patients with this Müllerian anomaly should be counseled on possible pregnancy in either uterine horn, need for high-risk obstetric care and surgical management in abortion, and consideration of surgery or in vitro fertilization to optimize implantation in the desired uterine horn. Further research should examine specific fertility and obstetric outcomes in patients with this anomaly.