Uterine malformation related knowledge summary

During female embryonic development, both sides of the accessory renal tube are affected and disturbed by certain factors, and can stop development at various stages of evolution to form various uterine malformations.

1. Congenital absence of uterus: When both sides of the accessory renal tube cease development before the midline, there is no uterus formation. Congenital absence of uterus is often associated with congenital absence of vagina, but there may be normal fallopian tubes and ovaries, the clinical manifestations of menstrual delayed after menstruation.

2. The primordial uterus: The bilateral nephrectomies on both sides of the renal plexus extend to the midline and continue to develop shortly after the meeting. This kind of uterus is very small, there is no uterine cavity, there is no endometrium, so there is no menstruation.

3. Childish uterus: During any period before puberty, the uterus stops developing due to various reasons, and various degrees of uterine hypoplasia may occur. The cervix of this type of uterus is relatively long, the uterus is smaller than normal, and often presents with extreme forward dorsiflexion or backward dorsiflexion. The naive uterus can cause dysmenorrhea, less menorrhagia, amenorrhea or infertility.

4. Dual uterus: formed due to incomplete convergence of the accessory nephric tube. Double uterus can be accompanied by double vaginal, generally no clinical symptoms. When one of the twin uterus is pregnant, the unborn uterus on the other side is also slightly larger, but it does not generally cause dystocia. When a few unborn uteri obstruct the birth canal, cesarean section is required.

5. Two-cornered uterus: Both sides of the accessory renal tube have converged at the end, the terminal septum has been absorbed, the bottom of the uterus is incomplete, so there is a cervix and a vagina, but each side of the uterus has a prominent angle, pregnancy has Can cause miscarriage or abnormal fetal position.

6. Single-horned uterus: One side of the nephridial tube is well-developed, forming a well-developed single-horned uterus and a normally-developed fallopian tube. Single-horned uterus can be without clinical symptoms, and some pregnancy may cause miscarriage or dystocia.

7. Remnants of the uterus: One side of the nephrectomized tubule develops normally and the other side arrests the development of the uterus

Women are more susceptible to disease and aging, resulting in varying degrees of residual horns. Most only through the fiber bundle and the opposite side of the single angle uterus connection, and some contralateral uterine cavity with a narrow passage, in this case can occur remnant uterine horny pregnancy, often in the 3 to 4 months of pregnancy rupture occurs Severe internal bleeding.

8. Septum in the uterus: After the secondary nephrectomies on both sides meet, the mediastinum is not absorbed and the uterine body is divided into two halves. The uterus is completely normal, but often accompanied by vaginal mediastinum, the channel is often located in the uterine isthmus, and sometimes the vagina is partially closed. The retained menstrual blood can flow slowly through the isthmus passage to the opposite side of the vagina, so old bloody secretions can be from the vagina. Outflow.

If the uterine malformation does not affect the physiological function, it can be without clinical symptoms and it does not need treatment. If you cause amenorrhea, dysmenorrhea, infertility or habitual abortion, you can first apply drug treatment; after drug treatment is invalid, you can consider surgery to repair deformity. However, there is no therapeutic value for congenital absence of uterus and primordial uterus.

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