###Human: Should I be concerned about fertility and pregnancy complications due to bicornuate uterus? ###Assistant: Hi Thanks for your query woman may never need treatment for a bicornuate uterus. If it is required, the surgery is known as a Strassman metroplasty. This surgery may be recommended if a woman has repeated miscarriages and bicornuate uterus is thought to be the cause. Performing this procedure, as a solution to infertility, is controversial, as the majority of research carried out suggests that having a bicornuate uterus will not affect a woman’s chances of falling pregnant. Some evidence suggests that problems, such as miscarriage and early birth, are more likely in women with the condition, though it does not rule out a successful pregnancy and natural delivery. Women with a bicornuate uterus who do become pregnant should have additional monitoring and checkups throughout their pregnancy, to minimize risk and identify any problems early on. It’s not necessary that all those with this condition will get problems with fertility or pregnancy but the chances are more especially if it’s septate uterus where there’s full septum diving uterus into two. Sometimes it can’t be established on imaging and laparoscopic view may be necessary.