🩺 Uterus Didelphys

Uterus didelphys is a rare congenital Müllerian anomaly resulting from complete failure of fusion of the Müllerian ducts during fetal development.

As a result, a woman may have:

• Two separate uterine cavities

• Two cervices

• Sometimes a longitudinal vaginal septum.

Unlike a bicornuate uterus, where there is partial fusion, uterus didelphys results in two distinct uterine structures.

Can women with uterus didelphys become pregnant?

Absolutely.

Many women conceive naturally and may remain unaware of the condition until pregnancy or imaging studies reveal it.

However, uterus didelphys has been associated with an increased risk of:

• Miscarriage

• Preterm birth

• Malpresentation (especially breech presentation)

• Cesarean delivery.

One important consideration is the possible association with:

🩺 OHVIRA Syndrome (Obstructed Hemivagina and Ipsilateral Renal Anomaly)

Patients may present with:

 • Severe dysmenorrhea

• Chronic pelvic pain

• Hematocolpos

• Renal tract anomalies

Accurate diagnosis is essential.

3D ultrasound and MRI can help differentiate uterus didelphys from other Müllerian anomalies and identify associated abnormalities.

The key message:

Having two uteri does not mean a woman cannot have a successful pregnancy.

With appropriate diagnosis and obstetric care, many women achieve excellent reproductive outcomes.

Dr Rabab Cares 

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