What Is a Double Uterus?

Double uterus is a reproductive tract malformation. Its occurrence is due to the normal development of the Müllerian ducts on both sides of the embryo during the development but not complete fusion. Each uterus develops into a double uterus, with its own fallopian tube. Also often accompanied by double vagina.

Basic Information

English name

duplex uterus

Visiting department

Gynecology

Common locations

uterus

Common causes

During the development of the embryo, it is affected by some factors of the internal and external environment

Common symptoms

abortion

Causes of Double Uterus

During the development of the embryo, due to some factors of the internal and external environment, the lateral mesenteric ducts on both sides are not fused, and various deformities can be formed. If they are completely fused, they develop into two uterus and two cervix, and the vagina is often completely separated. There are single fallopian tubes and ovaries on the left and right uterus.

Clinical manifestations of double uterus

Two sets of uterus connected to the fallopian tube, double cervix and double vagina, with connective tissue separated between the two sets; there can also be a double uterus single vagina without mediastinum between the vagina. Patients may be asymptomatic or have heavy menstrual blood and prolonged menstruation. Both uterus are functional and therefore do not affect fertility, but abortion may occur during pregnancy. It is easy to scrape the infertile side of the uterus during early pregnancy and miss the uterus. The uterus continues to grow, and the abnormal rate of fetal position in the third trimester increases. The uterus may prevent the fetal head from falling, causing obstructive dystocia, and uterine contraction is more common, so the cesarean section rate increases; bleeding may occur after delivery due to the decidual discharge from the non-pregnant side of the uterine cavity. Occasionally, there is a fetus on each side of the uterus . In addition, the mediastinum in the vagina can prevent sexual intercourse, difficulty in sexual intercourse, or pain during intercourse, and it can also form a blocked vaginal hemorrhage due to the vaginal atresia on one side.

Double uterine examination

Gynecological examination and B-ultrasound.

Double uterine diagnosis

After detailed inquiries about the history of multiple menstrual periods, a gynecological examination revealed double uterus, double cervix, double vagina, B-ultrasound, double uterine and uterine fallopian tube lipiodol angiography to confirm the diagnosis.

Double uterus treatment

If it does not cause clinical symptoms, no treatment is necessary. If the pedestrian is pregnant in the early pregnancy, it should be scraped under the B-ultrasound or bilateral uterine cavity to avoid leakage. IUDs are generally not used for contraception.

In early pregnancy, pay attention to the symptoms of miscarriage. If you have vaginal bleeding, lower abdomen tightening, backache, lower back pain and other discomforts, that is, "threatened abortion", you should go to the hospital for proper abortion treatment. Relax in daily life, slow down the pace of life, do not put too much pressure on yourself, and at the same time try to wear loose clothes.

In the second or third trimester of pregnancy, more attention should be paid to preventing preterm birth. Prenatal examinations should be done regularly, and the number and frequency of prenatal examinations is higher than that of ordinary pregnant women. During the prenatal check-up, medical staff can help to pay attention to the situation that may cause premature birth and give appropriate treatment. To avoid unnecessary long-distance travel, to avoid excessive labor, to avoid excessive worry about causing mental anxiety and anxiety, if there are signs of premature birth, you should seek medical treatment as soon as possible, and you should adjust activities during pregnancy.