Successful In-vitro Fertilisation/Intracytoplasmic Sperm Injection in a Patient with Unicornuate Uterus: A Case Report

Most often the uterine developmental anomalies are missed until later in life presenting as infertility. This case report is of a couple presented with secondary infertility for four years. The wife had a unicornuate uterus with a left rudimentary horn which was diagnosed only at the time of cesarean section delivery. The husband had teratozoospermia. Two 5AA and 5AA blastocysts were transferred and at 5 weeks two gestational sacs along with a yolk sac and fetal heart pulsations were noted and the patient was under regular antenatal checkup. At 8 weeks of gestation, two gestational sacs were noted. However cardiac activity of only one twin was noted with the missed abortion of the other twin. The patient was under regular antenatal checkup and pregnancy was then continued till 37 weeks.