Uterus didelphis is a congenital anomaly in which a woman is born with two uteruses. Describing this as a rare condition, Dr Aradhana Singh, Additional Director, Obstetrics and Gynecology, Fortis Hospital, Noida said, “Double Uterus is a condition where two cavities separate.” Furthermore, according to a research published in PubMed Central“This condition is less common than other uterine malformations and has been estimated to occur in 1/3000.”
Explaining its formation, Dr Singh said, “The Uterus, And the entire genital tract, in the female body, develops from two separate tubes. If these tubes are not fully fused then such a situation arises. In some cases, fusion of the tubes can occur at the mouth of the uterus (called the cervix), causing a bulge of the uterus. However, if the fusion fails there, a woman can develop two cervical and two vaginal detachments in some cases.”
Emphasizing that “the reason why the tubes are not fused properly is still unclear,” Dr Singh said that “genetic predisposition is the most likely cause of the discrepancy.” He further explained that environmental factors, which can mutate the gene, can also cause the development of double uterus in some women.
Dr Singh said indianexpress.com that “as such, the discrepancy may or may not pose any health risk and the majority of cases are asymptomatic”. However, in some cases, some women may experience “heavy bleeding, excruciating pain during menstruation”. abortionand difficulty in getting pregnant,” the expert said, adding that the condition can also increase the risk of C-section delivery.
Dr Preeti Rastogi, Additional Director, Obstetrics and Gynecology, Fortis Memorial Research Institute, Gurgaon agreed with and explained that since there are two uterus, their size is smaller than normal uterus. “As a result, especially during the last quarterThe fetus grows but the uterus is not able to accommodate the baby which can lead to miscarriage or premature labor which can lead to premature labour. The lack of proper lining of the uterus in this situation can also lead to implantation failure,” she said.
But can a woman with two uteruses have children from both?
Dr. Chennuru Nishita, MS OBG, Andhra Pradesh, said indianexpress.com That pregnancy can happen in either of the uterus. “However, which ovary is ovulating, which fallopian tube conception is taking place, and which uterus is functional, can be the deciding factor,” she said. The doctor reiterated that pregnancies in case of a double uterus would have complications such as “repeated miscarriages, premature labor, and rarely due to uterine rupture”.
“In these cases, women usually deliver prematurely because the uterus can no longer accommodate the baby due to its smaller size and most of them will have a smaller cervix,” he said.
He further explained that normally, the upper region of the uterus is larger than the lower region to accommodate the lower and wider part of the body (buttocks) of the baby and thus the baby is inverted in most pregnancies. However, in the case of a double uterus, “the upper region may be narrower than the lower end and so the baby’s crown is in the upper part,” she said.
diagnosis and treatment
Experts believe that usually women do not have any problem due to which they are sometimes not even aware of their condition. Although “regular pelvic checkups, ultrasound and MRI,” are commonly used to diagnose double uterus, Dr Rastogi said.
Talking about the treatment, experts said that most of the women do not require any kind of treatment for it. Dr Rastogi said, “If someone is having recurrent miscarriages, then surgery can be considered.” He added that “surgery is difficult to perform if the two cavities in the pelvis are kept wide enough, but if they are close enough it can be done.”
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