{"id":2552,"date":"2020-03-16T12:09:02","date_gmt":"2020-03-16T10:09:02","guid":{"rendered":"https:\/\/drtsoumpou.gr\/?page_id=2552"},"modified":"2020-10-27T16:54:24","modified_gmt":"2020-10-27T14:54:24","slug":"congenital-uterine-anomalies","status":"publish","type":"page","link":"https:\/\/drtsoumpou.gr\/en\/gynaecology\/gynaecological-ultrasound\/congenital-uterine-anomalies\/","title":{"rendered":"Congenital uterine anomalies"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row][vc_column][vc_column_text]<img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-2116 size-full\" src=\"https:\/\/drtsoumpou.gr\/wp-content\/uploads\/2019\/12\/sigeneis-anomalies-mitras.jpg\" alt=\"\" width=\"500\" height=\"553\" srcset=\"https:\/\/drtsoumpou.gr\/wp-content\/uploads\/2019\/12\/sigeneis-anomalies-mitras.jpg 500w, https:\/\/drtsoumpou.gr\/wp-content\/uploads\/2019\/12\/sigeneis-anomalies-mitras-271x300.jpg 271w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p>The congenital uterine anomalies (CUAs) are developmental malformations of the shape of the uterus that happen in fetal life. The overall prevalence of CUAs is estimated to be 5.5% in an unselected population, 8.0% in infertile women, 13.3% in those with a history of miscarriage and 24.5% in those with miscarriage and infertility.<\/p>\n<h3>Classification<\/h3>\n<p>The commonest types of CUAs are:<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Septate uterus<br \/>\n<\/strong>The uterine cavity is partitioned by a fibromuscular septum, but has normal external contour<\/li>\n<li><strong>Bicornuate uterus<br \/>\n<\/strong>The uterus is present as two separate uterine horns with external indentation<\/li>\n<li><strong>Uterus didelphus<br \/>\n<\/strong>There is double uterus with two separate cervices, and rarely a double vagina. Each uteri horn is linked to one fallopian tube and ovary.<\/li>\n<li><strong>Unicornuate uterus<br \/>\n<\/strong>Only one horn of the uterus is present which is linked to one fallopian tube and ovary with the other horn of uterus is absent or rudimentary.<\/li>\n<\/ul>\n<h3>Symptoms<\/h3>\n<p>CUAs are usually <strong>asymptomatic.<\/strong> However, they could be associated with subfertility, recurrent miscarriages or preterm birth.<\/p>\n<p>Women with a history of <strong>recurrent miscarriages or preterm birth<\/strong> need to have an ultrasound assessment of the shape of their uterus.<\/p>\n<h3>Diagnosis<\/h3>\n<p><strong>3D ultrasound<\/strong> is a simple and reliable method for the diagnosis of CUAs. It is preferably performed in the 2<sup>nd<\/sup> phase of the half of the menstrual cycle and it is a painless procedure that does not require any medication or contrast medium.<\/p>\n<p><strong>Hysteroscopy<\/strong> is the procedure of choice for the confirmation of the type of CUA.<\/p>\n<h3>Management<\/h3>\n<p>The management of CUAs depends on the type of abnormality and needs to be individualized depending on each woman\u2019s history.<\/p>\n<ul>\n<li>Women who have septate uterus and history of subfertility or recurrent miscarriages, it is recommended to have hysteroscopic repair of the shape of the uterus.<\/li>\n<li>The repair of bicornuate uterus is performed with metroplasty that is a surgical procedure done by laparotomy or laparoscopy and is associated with increased risk of complications, without proven benefits. Therefore, metroplasty is not recommended.<\/li>\n<li>Uterus didelphus and unicornuate uterus behave to some extent as normal uteri and there is no need for intervention.<\/li>\n<\/ul>\n<p>[\/vc_column_text][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_column_text] &nbsp; The congenital uterine anomalies (CUAs) are developmental malformations of the shape of the uterus that happen in fetal life. The overall prevalence of CUAs is estimated to be 5.5% in an unselected population, 8.0% in infertile women, 13.3% in those with a history of miscarriage and 24.5% in those with miscarriage and infertility.&hellip;<\/p>\n","protected":false},"author":3,"featured_media":0,"parent":2531,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-2552","page","type-page","status-publish","hentry","description-off"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Congenital uterine anomalies | drtsoumpou.gr<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/drtsoumpou.gr\/gynaikologia\/gynaikologiko-yperichografima\/syngeneis-anomalies-mitras\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Congenital uterine anomalies | drtsoumpou.gr\" \/>\n<meta property=\"og:description\" content=\"[vc_row][vc_column][vc_column_text] &nbsp; The congenital uterine anomalies (CUAs) are developmental malformations of the shape of the uterus that happen in fetal life. 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