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Uterine Malformation
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anatomical pathology
   
diseases
   
female reproductive system
   
gynecology
   
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TYPES

The American Fertility Society (now American Society of Reproductive Medicine) Classification distinguishes:
  • Class I: Mullerian Agenesis (absent uterus).

  • Class II: Unicornuate uterus (a one-sided uterus).

  • Class III: Double uterus (uterus didelphys).

  • Class IV: Bicornuate uterus: uterus with two horns.

  • Class V: Septated uterus (uterus has a partition or septum).

  • Class VI: DES uterus


An additional variation is the arcuate uterus.
A rudimentary uterus is an uterine remnant not connected to cervix and vagina and may be found on the other side of an unicornuate uterus.


DIAGNOSIS

Besides a physical examination, the physician will need imaging techniques to determine the character of the lesion: Gynecologic Ultrasonography , pelvic MRI , or Hysterosalpingography . In addition, Laparoscopy and/or Hysteroscopy may be indicated.
In some patients the Vagina l development may be affected.
Studies may have to address if other organs systems are affected ( Kidney s, spinal bone column) and when the child didn´t have her first mentruation.


TREATMENT

Surgical intervention depends on the extent of the individual problem.


SEE ALSO

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