These are congenital malformations where the uterus either has a single horn (unicornuate) or two horns (bicornuate) instead of the typical pear shape. Management of these conditions varies depending on several factors including symptoms, fertility desires, and associated complications. Here's a general overview:

Monitoring and Diagnosis: Diagnosis usually occurs through imaging studies like ultrasound, MRI, or hysterosalpingography. Once diagnosed, regular monitoring may be recommended, especially if the woman is asymptomatic.

Fertility and Pregnancy: Both conditions can affect fertility and increase the risk of complications during pregnancy such as miscarriage, preterm birth, and breech presentation. Women with unicornuate or bicornuate uterus may require monitoring and possibly interventions during pregnancy to reduce these risks.

Surgical Interventions: In some cases, surgery may be considered to correct the uterine anomaly, especially if it's causing significant symptoms or fertility issues. However, surgery is not always recommended, and the decision should be made on a case-by-case basis after thorough evaluation by a specialist.

Management of Symptoms: Treatment may be needed for symptoms such as heavy menstrual bleeding, pelvic pain, or difficulty conceiving. This could involve medications, hormonal therapy, or other interventions tailored to the individual's needs.

Counseling and Support: It's essential for individuals with these uterine anomalies to receive counseling and support, especially if they're experiencing fertility challenges or facing decisions about pregnancy. Consulting with a reproductive endocrinologist or a fertility specialist can provide valuable guidance and support.

Overall, management of unicornuate or bicornuate uterus requires a personalized approach that considers the individual's symptoms, fertility goals, and overall health status. Collaboration between the patient and a multidisciplinary healthcare team, including obstetricians, gynecologists, and fertility specialists, is crucial in ensuring the best possible outcomes.