T-Shaped Uterus

14.05.2026 Prof. Dr. Cihan Kaya

What is a T-Shaped Uterus? – Patient Information Guide

What is a T-Shaped Uterus?

A T-shaped uterus is a condition where the uterine cavity, instead of its normal triangular shape, appears narrow and resembles the letter T. It can be congenital or develop later in life.

How Does It Form?

• Congenital uterine developmental anomalies
• Exposure to certain medications used in the past (especially DES)
• Intrauterine adhesions or post-surgical changes

Symptoms

• Often asymptomatic
• Infertility
• Recurrent miscarriages
• Failed IVF attempts

Why Is It Important?

In a T-shaped uterus, the internal uterine volume is narrow, which can make embryo implantation difficult.

How Is It Diagnosed?

• 3D ultrasound
• Hysteroscopy
• MRI imaging
• HSG (hysterosalpingography)

Is Treatment Necessary?

• Not always necessary if there are no complaints
• Treatment may be recommended if there is infertility or miscarriage

How Is Treatment Performed?

• Hysteroscopic intrauterine widening (metroplasty)
• Performed vaginally, without incision

Post-Surgery

• Usually same-day discharge
• Rapid recovery
• Quick return to normal life

Effect on Pregnancy

After treatment, the internal uterine volume increases, and the chance of pregnancy may improve.

Clinical Fact

A T-shaped uterus is a rare condition but is particularly important in infertility patients.

Conclusion

A T-shaped uterus is a uterine anomaly where the chance of pregnancy can be increased with appropriate diagnosis and treatment.

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