Edit concept Question Editor Create issue ticket

Congenital Malformations of Uterus and Cervix

Mayer-Rokitansky-Küster-Hauser syndrome


Presentation

  • […] to a vagina which is either present from birth or has been created.[brighamandwomens.org]
  • Case presentation A 46 years old woman presenting cyphoscoliosis and very low stature (120 cm – 3,93 feet), came to our observation for acute pelvic pain; she also reported primary amenorrhoea associated with cyclic pelvic pain.[bmcwomenshealth.biomedcentral.com]
  • Usually, the uterus is absent but ovaries are present. Vaginal atresia (absent lower vagina). A normal uterus is usually present. Mullerian aplasia (nearly all the vagina and most of the uterus are absent).[fwcenterforpelvicmedicine.com]
  • Associations associated longitudinal vaginal septum may be present in 25% of cases as with other Mullerian duct anomalies, abnormalities of the renal tract may also be present Subtypes Bicornuate uterus is divided according to the involvement of the cervical[radiopaedia.org]
  • Patients usually present in postmenarcheal period with unilateral hematometra causing dysmenorrhea.[jpgo.org]
Infertility
  • Unexplained infertility Infertility is customarily defined as the inability to conceive after one year of regular unprotected intercourse.[ihr.com]
  • Infertile women have a greater incidence of uterine abnormalities than do fertile women.[bayareafertilitydoctor.com]
  • Introduction Uterine anomalies can lead to infertility and problems with reproduction among women.[omicsonline.org]
  • Sometimes the cause of infertility can be attributed to congenital anomalies (birth defects) of the uterus, or those that occur after birth.[medfem.co.za]
  • Septa may be discovered accidentally e.g during a hysterosalpingogram (HSG) done to investigate infertility.[fertility-concepts.nycivf.org]
Intermittent Claudication
  • claudication intestine intracranial joint joint prosthesis kidney knee laceration lacrimal lower limb lung malignant molar pregnancy multiple muscle Neoplasm nerve newborn nondisplaced nontraumatic obstetrical trauma obstruction organ Osteochondrosis[books.google.com]
Sepsis
  • Neoplasm nerve newborn nondisplaced nontraumatic obstetrical trauma obstruction organ Osteochondrosis pelvic percent third degree posterior postprocedural prosthesis psychogenic F45.8 pulmonary Puncture region renal respiratory second degree secondary sepsis[books.google.com]
Hypertension
  • […] contusion cornea device Diabetes diagnosis disease classified elsewhere disease or syndrome Disorder displaced duct ectopic or molar embolism external cause eyelid female finger foot foreign body Fracture gallbladder genital gland heart hemorrhage hepatic Hypertension[books.google.com]
  • […] baby died were offered a post-mortem RCOG release: Weight loss surgery improves female fertility women and their children, due to an increased risk of congenital anomalies, pregnancy complications and illnesses associated with ... gestational diabetes, hypertension[rcog.org.uk]
  • Individuals will have impaired sex steroid and cortisol synthesis and overproduction of aldosterone with resultant hypertension and hypokalemia.[acog.org]
  • Quantitative analyses for the serum peptides and their clinical utility for pregnancy-induced hypertension.[hosp-urayasu.juntendo.ac.jp]
Ulcer
  • […] pulmonary Puncture region renal respiratory second degree secondary sepsis sinus skin specified NEC specified site NEC specified type NEC spinal status epilepticus subacute subcategory superficial syphilitic Table of drugs thoracic traumatic tuberculous ulcer[books.google.com]
  • Abstract Favorites PDF Get Content & Permissions Colposcopic Diagnosis of Vaginal Ulcerations in Toxic Shock Syndrome CROWDER, WILLIAM E.; SHANNON, FRANCIS L. Obstetrics & Gynecology. 61(3):50S-53S, March 1983.[journals.lww.com]
  • Intermenstrual bleeding is not characteristic of these tumors but may occasionally occur with submucous myomas ulcerating through the endometrial lining. Excessive bleeding may result in anemia, weakness, dyspnea, and even congestive heart failure.[clinicalgate.com]
  • If a patient is symptomatic, vaginal speculum examination and inspection should be performed to check for possible malignancy, colitis, ulceration, or other problems.[acog.org]
Lacrimation
  • […] eyelid female finger foot foreign body Fracture gallbladder genital gland heart hemorrhage hepatic Hypertension idiopathic implant infarction infection Injury intermittent claudication intestine intracranial joint joint prosthesis kidney knee laceration lacrimal[books.google.com]
Contusion
  • Elsevier ‏ معاينة محدودة - 2018 عبارات ومصطلحات مألوفة abdomen abnormal Abscess abuse acquired acute ankle artery benign Bite bone brain breast cardiac cell cerebral cervical cervix chronic complication NEC condition congenital connective tissue Continued contusion[books.google.com]
Fracture
  • NEC condition congenital connective tissue Continued contusion cornea device Diabetes diagnosis disease classified elsewhere disease or syndrome Disorder displaced duct ectopic or molar embolism external cause eyelid female finger foot foreign body Fracture[books.google.com]
Amenorrhea
  • Symptoms of cervical agenesis include: Failure to start having periods at puberty (primary amenorrhea ) Abdominal pain Cervical duplication may cause no symptoms.[childrens.com]
  • Müllerian agenesis is one of the most common causes of primary amenorrhea in patients with typical thelarche and adrenarche.[acog.org]
  • […] that are hard to identify as a girl or boy (ambiguous genitalia) Labia that are stuck together or unusual in size No openings in the genital area or a single rectal opening Swollen clitoris As the female matures, symptoms may include: No menstruation ( amenorrhea[columbiadoctors.org]
  • The term Asherman’s syndrome is often used to describe intrauterine adhesions associated with oligomenorrhea or amenorrhea and are thought to interfere with the normal placentation and are treated with Minimally Invasive Surgery such as a hysteroscopic[fertilitymemphis.com]
  • […] grow Cannot empty the bladder Lump in the stomach area, usually due to blood or mucus that cannot flow out Menstrual flow that occurs despite using a tampon (a sign of a second vagina) Monthly cramping or pain, without menstruation No menstruation ( amenorrhea[medlineplus.gov]
Primary Amenorrhea
  • Müllerian agenesis is one of the most common causes of primary amenorrhea in patients with typical thelarche and adrenarche.[acog.org]
  • Symptoms of cervical agenesis include: Failure to start having periods at puberty (primary amenorrhea ) Abdominal pain Cervical duplication may cause no symptoms.[childrens.com]

Treatment

  • Treatment There are no non-surgical treatments for congenital uterine anomalies. Recommendations for surgical treatment of congenital uterine anomalies depend on the particular anomaly and the woman’s reproductive history.[medfem.co.za]
  • Cervical duplication treatment is typically not urgent unless the condition causes symptoms or if a woman is pregnant or trying to get pregnant.[childrens.com]
  • Treatment of uterine anatomy problems Treatment of the bicornuate uterine abnormalities can range from ongoing observation to abdominal surgery that unifies the two uteri into one.[bayareafertilitydoctor.com]
  • Babies with birth defects often need special care and treatments. The treatments may include surgery, medicines, assistive devices, and therapies. Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ][icdlist.com]
  • Many women with uterine anomalies do not require treatment. If pain, miscarriage, or infertility is an issue, a physician may recommend correcting the anomaly surgically.[trmbaby.com]

Prognosis

  • Treatment and prognosis Surgical intervention is usually not indicated in absence of reproductive difficulties.[radiopaedia.org]
  • Pregnancy can generally be attempted roughly three months after surgery, and the prognosis for a successful pregnancy is excellent.[medfem.co.za]

Etiology

  • Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.[icd10coded.com]
  • Disorders of sexual development: etiology, evaluation, and medical management. In: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th ed. Philadelphia, PA: Elsevier; 2016:chap 150. Grindler NM, Cooper AR.[medlineplus.gov]
  • Another etiology of pubertal delay with typical external female genitalia and absent cervix is CYP17A1 deficiency.[acog.org]

Pathophysiology

  • Atsushi Tajima, Eriko Yamamoto, Mayumi Kubo, Hanako Kasahara, Aya Kawamura, Yoshiko Murase, Michio Nojima, Koyo Yoshida.The relation of myoma located in the lower uterine segment and the high risk of Caesarean section.46th international congress of pathophysiology[hosp-urayasu.juntendo.ac.jp]

Prevention

  • Preventive Services Task Force. Available online at . Accessed 6/16/15. Moyer, VA on behalf of the U.S. Preventive Services Task Force. (2012 June 19). Screening for Cervical Cancer: U.S. Preventive Services Task Force Recommendation Statement.[labtestsonline.it]
  • - 0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis[codelay.com]
  • Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ][icdlist.com]
  • Health care providers once prescribed this medicine to pregnant women to prevent miscarriage and early labor. However, scientists learned that baby girls born to women who took this medicine had an abnormally shaped uterus.[medlineplus.gov]
  • An imperforate hymen completely blocks the vaginal opening and prevents the passage of menstrual blood which leads to pelvic pain during puberty. Sometimes, the hymen has only a very small opening which can cause difficulty with tampon use.[columbiadoctors.org]

Ask Question

5000 Characters left Format the text using: # Heading, **bold**, _italic_. HTML code is not allowed.
By publishing this question you agree to the TOS and Privacy policy.
• Use a precise title for your question.
• Ask a specific question and provide age, sex, symptoms, type and duration of treatment.
• Respect your own and other people's privacy, never post full names or contact information.
• Inappropriate questions will be deleted.
• In urgent cases contact a physician, visit a hospital or call an emergency service!