The treatment for bicervical bicornuate uterus with patent cervix and vagina depends on the severity of the condition. In some cases, no treatment is necessary. However, if the condition is causing fertility issues, surgery may be recommended. This could include hysteroscopic metroplasty, laparoscopic metroplasty, or laparoscopic resection of the septum. In some cases, hormone therapy may be recommended to help regulate the menstrual cycle. Additionally, fertility treatments such as in vitro fertilization (IVF) may be recommended to help increase the chances of conception.