Whether or not you can get pregnant with a small uterus depends on whether or not the uterus is functioning normally, if the uterus is functioning normally, you can usually get pregnant. Small uterus is a congenital developmental problem. If the examination reveals that the uterus is only physiologically small, but the menstrual cycle is normal, the menstrual flow is normal, there is no abnormality of the uterine lining, and there is regular ovulation, it means that the uterus is functioning normally, and you can usually get pregnant. If the uterus is small, combined with decreased menstrual flow and thinning of the endometrium, which affects ovulation, it indicates abnormal uterine function, then natural pregnancy will be affected. In the case of small uterus with irregular menstruation, normal pregnancy is possible after applying estrogen-progestin replacement therapy under doctor’s supervision, and the chances of conception can also be improved by ultrasound monitoring of follicular ovulation. If the uterus is small and has pathological symptoms, further examination should be conducted under the guidance of a doctor, and the chances of conception can be greatly improved by actively cooperating with the treatment.