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Pelvic and Uterine Anomalies

What are pelvic and uterine anomalies?

Developmental anomalies of the female reproductive system represent some of the most fascinating disorders that obstetricians and gynecologists encounter. Most of these anomalies are due to the developmental defects of the mullerian duct system. Congenital uterine anomalies may lead to symptoms such as pelvic pain, prolonged or otherwise abnormal bleeding at the time of menarche, recurrent pregnancy loss, or premature delivery, and thus may be identified in girls and women who present with these disorders. Some congenital anomalies may be suspected because of associated findings on physical examination, such as a longitudinal vaginal septum. Others may be detected when imaging studies are performed to evaluate patients with infertility, symptoms related to non reproductive organ systems, or routine ultrasounds.

What are the symptoms?

  • Delayed menarche or first period
  • Pelvic pain
  • Recurrent pregnancy loss
  • History of Premature delivery
  • Infertility

When to visit a gynecologist?

You should visit your gynecologist whenever you have history of delayed menarche, history of infertility or an X-Ray (HSG) demonstrating any deviation from the normal image, or ultrasound showing any abnormal findings.

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Why do you have all these symptoms in uterine or pelvic anomalies?

Most of the developmental anomalies of the mullerian ducts are accidental findings. Conditions such as transverse vaginal septum or imperforate hymen can cause delayed periods with symptoms of cyclical pain in abdomen or pelvic pain. Uterine septae can cause hypoperfusion of the healthy embryo, hence causing early miscarriage. Change in the shape of the uterus can cause abnormal fetal presentations during pregnancy such as transverse presentation or breech presentation, increasing the need for cesarean section.

Complications of uterine or pelvic anomalies:

  • Infertility
  • Miscarriage
  • Preterm labour
  • Malpresentation during pregnancy
  • Kidney and ureteric malformations
Management

Diagnosis & Treatment

We at Queen’s Gynecology believe in timely intervention of uterine and pelvic anomalies. Most of the time, women are unaware of these findings, these are incidental findings during surgery or during investigations. Our aim is to identify these anomalies using latest modalities such as 3d/4d ultrasound, laparoscopy and hysteroscopy and correct them simultaneously.

Treatment for pelvic and Uterine Anomalies:

  • The treatment aims at preventing complications arising because of uterine and pelvic anomalies.
  • Surgical management- Laparoscopy and hysteroscopy are ideal for correcting any anomaly.
  • Conservative approach- in case there are no symptoms and complications and if treatment will not help in outcome.

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