How can women with rudimentary uterus get pregnant?

　　32 years old. In June 2006, a cyst was discovered due to B supercilium and surgery was performed. During the operation, the cyst in the left peritoneum was removed, the left kidney was absent, and a residual horn was seen on the left uterine horn. Uterus , the right attachment is normal. The left ureter opens into the cyst wall, and after being cut open and explored for 2cm, it becomes the blind end.

　　Surgery: left retroperitoneal mass resection + rudimentary uterus + left fallopian tube resection

　　I started trying to conceive in 2007. Because the two places were separated, we lived together for two consecutive months twice a year, and the remaining months were for self-test time to visit relatives (short time). Normal menstrual cycle, never failed to conceive, had no miscarriage, Ectopic pregnancy experience. My husband has had a semen test and the results were all normal.

　　Menstruation starts on February 26th and ends on March 5th. Hospital A vaginal B-ultrasound examination was performed and the uterine appendages were normal. Today is the 13th day of menstruation. I had a B-ultrasound to monitor ovulation.

　　Ultrasound findings: The uterus is in the anterior position, measuring 4.6cm*3.0cm*4.9cm, with normal shape, uniform muscle wall echo, endometrial thickness of 0.9cm, clear uterine cavity line, and no obvious abnormal echo in the uterine cavity.

　　The right ovary was clearly displayed with no abnormality, and no abnormal echo was found in the right adnexal area.

　　A cyst was found in the left ovary, approximately 1.2cm*1.8cm*1.3cm in size, with clear borders, good endosonography, and no blood flow signal on CDFI.

　　Ultrasound diagnosis: left ovarian cyst, physiological possibility is extremely high.

　　If there is ovulation, this time the left ovary is ovulating, but if the left fallopian tube is removed, can I get pregnant normally?

　　Please tell me, professor, what tests do I need to diagnose the cause of infertility? (I have never had angiography) If I undergo test tube surgery, will my condition be okay? What tests are required? grateful!

　　This patient's medical history is very complicated. He had an operation in 2006. Judging from the surgical information provided by the patient, the patient currently has a reproductive organ malformation. This reproductive organ malformation should be diagnosed as a rudimentary uterus.

　　Generally, rudimentary uterus occurs on the left rudimentary horn, which is connected to the fallopian tube and ovary. This condition is often accompanied by the absence of kidneys. The left residual corner was cut off, and the left fallopian tube was also removed. The right side of the uterine cavity had a single horn shape. This uterine cavity is an abnormal shape. The normal shape of the uterine cavity is an inverted triangle, and the opening of the fallopian tube can be seen on each side. In this patient's uterine cavity, only an elevation-shaped uterine cavity can be seen, and the opening of the fallopian tube on the right side can be seen at the top of the elevation. The diagnosis of genital malformation is positive.

　　The patient has fertility requirements, female Biological organ malformation itself is the cause of infertility. In addition to reproductive organ malformation, the patient has no other factors that affect pregnancy, such as whether the fallopian tube is unobstructed and there is no relevant examination.

　　I suggest that the patient undergo a hysteroscopy to determine whether the uterine cavity is unicornuate like the one just analyzed.

　　In addition, it is recommended to do a functional assessment of the right fallopian tube. You can do a hysterosalpingogram to determine whether the right fallopian tube is normal.

　　It is normal if the right fallopian tube is unobstructed. Is there absolutely no possibility of pregnancy with a unicornuate uterus? Pregnancy is still possible, but the chance is low and the uterus is abnormally shaped. premature birth Or miscarriage. If the function of the fallopian tube is abnormal, you can actively choose artificial assisted pregnancy. After all, the patient has a genital malformation, and the chance of successful artificial assisted pregnancy is lower than that of normal people.