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More recently 3-D ultrasonography has been advocated as an excellent non-invasive method to evaluate uterine malformations. [4] Uterus didelphys is often confused with a complete uterine septum. Often more than one method of investigation is necessary to accurately diagnose the condition.
The superior part of the Müllerian ducts do not fuse and form the left and right fallopian tubes. Disruptions to this stage of development can result in didelphys or bicornuate uteri anomalies. [8] In both didelphys and bicornuate uteri, the non-fusion of the Müllerian ducts results in two distinct uterine cavities.
The condition is much less common than these other uterine malformations: arcuate uterus, septate uterus, and bicornuate uterus. While the uterus didelphys is estimated to occur in 1/3,000 women, [3] the unicornuate uterus appears to be even more infrequent with an estimated occurrence of about 1/4,000. [2]
Dr. Laura Purdy, chief medical officer at Wisp, a sexual health care group, says that “uterus didelphys is rare,” only accounting for 8% of the congenital anomalies of the female reproductive ...
As the vagina is largely derived from the Müllerian ducts, lack of fusion of the two ducts can lead to the formation of a vaginal duplication and lack of absorption of the wall between the two ducts will leave a residual septum, leading to a "double vagina". This condition may be associated with a uterus didelphys or a uterine septum. [2] [3] [4]
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A bicornuate uterus is an indication for increased surveillance of a pregnancy, though most women with a bicornuate uterus are able to have healthy pregnancies. [1] Women with a bicornuate uterus are at an increased risk of recurrent miscarriage, [2] [10] preterm birth, [2] [11] malpresentation, [2] [12] disruptions to fetal growth, [13] premature rupture of membranes, placenta previa and ...
An important category of septate uterus is the hybrid type a variant that may be misdiagnosed as bicornuate uterus when seen by laparoscopy [6] Professor El Saman From Egypt was the first to describe this anomaly and warned gynecologist about this common misdiagnosis, whenever there is a uterine fundus depression on laparoscopy gynecologists ...