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A bicornuate uterus means your uterus is shaped like a heart. A typical uterus is shaped like an upside-down pear. The wide, round part of the pear resembles the top portion of the uterus. If your uterus is bicornuate , the top of your uterus dips down at the middle, making it look like a heart. A bicornuate uterus or bicornate uterus (from the Latin cornū, meaning "horn"), is a type of Müllerian anomaly in the human uterus , where there is a deep indentation at the fundus (top) of the uterus. A bicornuate uterus develops during embryogenesis. A bicornuate uterus is a congenital abnormality where your uterus is heart-shaped. Learn more about causes, symptoms and how it can affect pregnancy. A congenital uterine defect known as a bicornuate uterus is characterised by the uterus’s heart-shaped form and two cavities rather than the usual one. When the Müllerian ducts do not completely fuse during fetal development, the uterine cavity divides, causing this disease.