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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]
Often more than one method of investigation is necessary to accurately diagnose the condition. Correct diagnosis is crucial as treatment for these two conditions are very different. [5] Whereas most doctors recommend removal of a uterine septum, they generally concur that it is better not to operate on a uterus didelphys.
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.
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 ...
A hysterosalpingogram is not considered as useful due to the inability of the technique to evaluate the exterior contour of the uterus and distinguish between a bicornuate and septate uterus. In addition, laparoscopy and/or hysteroscopy may be indicated. In some patients the vaginal development may be affected. [citation needed]
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 ...
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 ...
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