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Müllerian Anomalies

Developmental defects of the uterus and vagina can affect reproductive health.

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Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is Müllerian Anomalies?

Müllerian anomalies arise from fusion or resorption defects of the Müllerian ducts during the embryonic period. They are classified I-VII according to the ASRM classification. Septate uterus is the most common, followed by bicornuate uterus.

Clinical signs vary by anomaly: some remain asymptomatic, while others present with dysmenorrhea, infertility or recurrent pregnancy loss. Co-occurrence with urological anomalies such as renal agenesis is common.

3D ultrasound, hysterosalpingography and MRI are used in diagnosis. The indication for treatment is determined by the anomaly; hysteroscopic resection is the most commonly performed intervention in septate uterus.

Symptoms

Recurrent miscarriages
Infertility
Dysmenorrhea and pelvic pain
Malpresentation (breech, transverse)
Preterm birth
Dyspareunia due to vaginal septum

Risk Factors

Family history of reproductive system anomaly
DES exposure
Genetic syndromes
Renal agenesis association
Isolated uterine developmental defect
Variants of Rokitansky syndrome

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When recurrent pregnancy losses occur
  • When infertility is being investigated
  • When unilateral menstrual obstruction is suspected
  • When uterine anomaly is detected on ultrasound
  • For combined evaluation in the diagnosis of urological anomalies such as renal agenesis

Treatment Methods

01
Detailed mapping with 3D ultrasound and MRI
02
Hysteroscopic septum resection
03
Vaginal septum resection
04
Surgical approach for obstructive hemiuterus
05
Close obstetric follow-up and planned delivery
06
Psychosocial support and counseling

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.