A uterus is usually pear-shaped and is in a straight vertical position. There are many different abnormalities that can occur in the shape and position of your uterus. Some of these are minor, like a tilted uterus, and don’t have any impact on fertility, pregnancy, and birth. Some abnormalities are more serious and may increase your risks for complications. It is estimated that 4-7% of women have some type of abnormality that occurs when their reproductive system is formed. One of those anomalies is a bicornuate uterus, commonly referred to as a heart shaped uterus. This episode explains a tilted uterus and a heart shaped uterus, and what the risks are for you and your baby.