How to check for a double uterus?

The uterus is an important organ inside the female body. It is not only an organ of the female itself but also an important organ for pregnancy. If there is a problem with the uterus, it will not only cause disease to the female body, but also affect the normal fertility of women. Speaking of double uterus, I believe many people are unfamiliar with it. So how to check double uterus? Let’s take a look together.

Uterus dolbers is a reproductive tract malformation that occurs when the Müllerian ducts on both sides develop normally but do not completely fuse during embryonic development. Each develops into a double uterus with its own fallopian tube, each with its own function, forming a double uterus, double cervix, and often double vagina.

Causes

During embryonic development, due to certain factors in the internal and external environment, the two mesonephric ducts fail to fuse, which can lead to various malformations. For example, if they fail to fuse at all, each develops into two uteruses and two cervixes, and the vagina is often completely separated, with each left and right uterus having a single fallopian tube and ovary.

Clinical manifestations

Two sets of uteruses connected to the fallopian tubes, double cervixes and double vaginas, separated by connective tissue; there may also be no septum between the vaginas, forming a double uterus and a single vagina. Patients may be asymptomatic or have heavy menstrual bleeding and prolonged menstruation. Both uteruses are functional and therefore do not affect fertility, but miscarriage may occur during pregnancy. During early pregnancy abortion, the non-pregnant uterus is easily scraped and missed, and the uterus continues to grow. The rate of abnormal fetal position increases in late pregnancy. During delivery, the non-pregnant uterus may hinder the descent of the fetal head and cause obstructive dystocia. Uterine contraction weakness is also common, so the cesarean section rate increases. Postpartum bleeding may occur due to the discharge of the decidua from the non-pregnant uterine cavity. Occasionally, a fetus can be seen on each side of the uterus.

In addition, the internal mediastinum of the vagina can hinder sexual intercourse, causing dyspareunia or dyspareunia, and can also cause vaginal hematoma on the closed side due to vaginal closure on one side.

examine

Gynecological examination and B-ultrasound examination were performed.

diagnosis

By asking in detail whether the patient had a history of menorrhagia, gynecological examination revealed double uterus, double cervix, and double vagina. B-ultrasound showed double uterus and hysterosalpingography to confirm the diagnosis.