True unicornuate uterus is a rare congenital malformation of the uterus, in which only one side of the uterus is present. It is caused by the failure of one of the two mullerian ducts to develop, resulting in a uterus that is smaller than normal and shaped like a half-moon. This condition can lead to infertility, recurrent miscarriages, and other complications during pregnancy.

The most common symptoms of a true unicornuate uterus include:

-Painful or irregular menstrual cycles
-Infertility
-Recurrent miscarriages
-Early labor
-Premature delivery
-Malpresentation of the fetus
-Abnormal fetal growth
-Abnormal fetal position
-Abnormal fetal heart rate
-Abnormal amniotic fluid levels
-Abnormal placental position
-Abnormal fetal development
-Abnormal fetal movements

The cause of true unicornuate uterus is unknown, but it is believed to be due to a developmental abnormality that occurs during the early stages of fetal development. It is thought to be caused by a failure of the Müllerian ducts to fuse properly, resulting in the formation of a single horned uterus. Other possible causes include genetic mutations, environmental factors, and hormonal imbalances.

1. Surgery: Surgery is the most common treatment for a true unicornuate uterus. The goal of surgery is to create a normal-shaped uterus and to restore fertility. This can be done through a procedure called a uterine reconstruction, which involves removing the non-functioning portion of the uterus and reconstructing the remaining portion into a normal shape.

2. Hormone Therapy: Hormone therapy may be used to help regulate the menstrual cycle and reduce the risk of miscarriage. This may involve taking medications such as progesterone or gonadotropin-releasing hormone (GnRH) agonists.

3. In Vitro Fertilization (IVF): IVF is a fertility treatment that involves fertilizing an egg outside of the body and then transferring it to the uterus. This can be an effective treatment for women with

1. Premature labor
2. Preterm delivery
3. Low birth weight
4. Intrauterine growth restriction
5. Placental abruption
6. Fetal malpresentation
7. Uterine rupture
8. Recurrent pregnancy loss
9. Congenital anomalies
10. Increased risk of Cesarean section

There is no cure for true unicornuate uterus, but medications can be used to help manage the symptoms. These medications may include hormonal therapy, such as birth control pills, to help regulate the menstrual cycle and reduce the risk of miscarriage. Other medications, such as progesterone, may be prescribed to help support a pregnancy. Surgery may also be recommended to correct any anatomical abnormalities that may be present.