Which of the following is associated with a bicornuate uterus?

A bicornuate uterus is a type of uterine anomaly resulting from incomplete fusion of the Müllerian ducts during embryonic development. This condition typically presents with a heart-shaped or divided uterine cavity.

The association with absent kidney is recognized in the context of Müllerian duct anomalies. The development of the reproductive system is intricately linked to the development of the renal system. Therefore, individuals with a bicornuate uterus can present with renal anomalies, such as an absent kidney or horseshoe kidney, due to the shared developmental origin of these structures. This connection arises largely from the possibility that the structures develop from the same embryological tissue and processes, making renal anomalies more likely when a uterine anomaly is present.

In contrast, the other options do not have established associations with a bicornuate uterus. For example, while uterine fibroids can occur in a normal uterus, their incidence is not specifically increased in those with a bicornuate uterus. Low blood pressure is not a recognized complication or characteristic of this uterine anomaly, nor does a bicornuate uterus inherently impact fetal growth unless its structure significantly affects the intrauterine environment. Hence, the unique developmental considerations associated with a bicornuate uterus make the association with an absent kidney the