🩺 Uterus Didelphys: Can a Woman Have Two Uteri?

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 fusion is incomplete, 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 is associated with an increased risk of:

• Miscarriage

• Preterm birth

• Malpresentation, especially breech presentation

• Cesarean delivery

These risks do not mean that every pregnancy will develop complications.

🩺 An Important Association: OHVIRA Syndrome

OHVIRA stands for Obstructed Hemivagina and Ipsilateral Renal Anomaly.

This syndrome is associated with uterine duplication and obstruction of one side of the vagina, together with an abnormality of the kidney on the same side.

Patients may present with:

• Severe dysmenorrhea

• Chronic or recurrent pelvic pain

• Hematocolpos

• Associated renal tract abnormalities

🔎 How Is Uterus Didelphys Diagnosed?

Accurate diagnosis is essential.

3D ultrasound is particularly useful for evaluating the uterine cavity and external fundal contour.

MRI can help differentiate uterus didelphys from other Müllerian anomalies and assess associated vaginal abnormalities.

Renal tract imaging should also be considered because Müllerian anomalies may coexist with urinary tract abnormalities.

❤️ The Key Message

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

With appropriate diagnosis, individualized pregnancy monitoring, and obstetric care, many women with uterus didelphys achieve successful reproductive outcomes.

Dr Rabab Cares ❤️

#DrRababCares #UterusDidelphys #MullerianAnomalies #UterineAnomalies #OHVIRASyndrome #3DUltrasound #HighRiskPregnancy