Case report of unicornuate uterus with subfertility

Abstract

Most often the uterine developmental anomalies are missed until later in life presenting as infertility. This case report is of a couple presented with primary infertility of six years. 3D ultrasonography helps in for clinical suspicion of a uterine anomaly. The wife had a left unicornuate uterus with adequate uterine cavity and right rudimentary horn and also poor ovarian reserve. The husband had astheno-teratozoospermia. After a failed IVF frozen embryo transfer the couple were advised and underwent IVF-ICSI of donor oocytes with husband sperm. One 5AB blastocyst transferred and at 5 weeks and 6 weeks scans gestational sac along with yolk sac and foetal heart pulsations were noted, respectively. Single embryo transfer with good quality blastocyst is preferable for a unicornuate uterus since there is a risk of pre term labour.