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Four types of uterine malformations. The uterus is formed during embryogenesis by the fusion of the two paramesonephric ducts (also called Müllerian ducts). This process usually fuses the two Müllerian ducts into a single uterine body but fails to take place in these affected women who maintain their double Müllerian systems.
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]
This may be a condition with a double cervix and a vaginal partition (v.i.), or the lower Müllerian system fused into its unpaired condition. See Triplet-birth with Uterus didelphys for a case of a woman having spontaneous birth in both wombs with twins. Class IV—Bicornuate uterus (uterus with two horns).
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 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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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 ...