Potential Perils of Getting a dual Uterus

 

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No. A review of the literature suggests that while it’s possible to carry multiples with a double uterus, fertility rates are still lower than those of women with a normal uterus. There is an. Women who have a double uterus often have successful pregnancies. But the condition can increase the risk of miscarriage or premature birth.

Double uterus is an embryological developmental malformation of the Müllerian (Wolffian) ducts with the incidence of approximately 8.3% of all Müllerian duct abnormalities 4). How Is Double Uterus Treated? In case of having a double uterus with no obvious indication, then treatment is not required.

Rarely, surgery is needed to merge the double uterus. Even though, the option is effective in sustaining the pregnancy. It is better to consult your doctor in case of having any symptom, or complication related to double. A double uterus often causes no symptoms.

The condition may be discovered during a regular pelvic exam or during imaging tests to determine the cause of repeated miscarriages. Women who have a double vagina along with a double uterus may initially consult a doctor for menstrual bleeding that isn’t stopped by a tampon. Most women with a bicornuate uterus do not have complications, but in some, a bicornuate uterus can lead to an increased risk of preterm labor.

A bicornuate uterus is not believed to increase the risk of a first-trimester miscarriage but it may increase the risk of a second-trimester miscarriage. Hysterectomy is a major surgery. Like all surgeries, it comes with a number of immediate risks. These risks include: major blood loss; damage to. I’ve know about mine for 6-7 years and met with different high-risk doctor’s before trying to get pregnant. I’m 9 weeks today.

It’s scary but there are women who make it to term (more likely 37, then 40) and some even have vaginal births. Usually it’s a c-section though because the baby doesn’t have the room to turn. Women with a double uterus have an increase risk of premature labor.

Although the exact cause is unknown, the developmental basis for having this condition is well understood. In normal female embryos, the reproductive tract is made from structures called the Müllerian ducts, which derive from early precursors of the kidneys. It can possibly affect your pregnancy, & will certainly affect your delivery. Many women do deliver after c-section with the right care if the incision was of the right type. It is a good idea to get a copy of the operative report for your c-section so that if you go into labor without warning you will have it.

A Septate Uterus is when the inside of the uterus is divided by a septum, which may extend only party way into the uterus or reach as far as the cervix. These abnormalities won’t make a woman less fertile, but there are greater risks to pregnancy, such as miscarriage or premature labor.

List of related literature:

Should this process fail, abnormalities such as double uterus (with or without a double cervix and vagina), bicornuate uterus or subseptate uterus will occur (Fig. 58.1).

“Mayes' Midwifery E-Book: A Textbook for Midwives” by Sue Macdonald
from Mayes’ Midwifery E-Book: A Textbook for Midwives
by Sue Macdonald
Elsevier Health Sciences, 2011

Patients at low risk for extrauterine spread potentially may be treated with intrauterine brachytherapy alone, but it may be impossible to encompass an enlarged uterus in the clinical target volume using only an intrauterine tandem.

“Gunderson & Tepper’s Clinical Radiation Oncology, E-Book” by Joel E. Tepper
from Gunderson & Tepper’s Clinical Radiation Oncology, E-Book
by Joel E. Tepper
Elsevier Health Sciences, 2019

Very occasionally, fibroids can slightly increase the risk of such complications as abruption (separation) of the placenta, preterm birth, and breech birth, but these minimal risks can be reduced even further with the right precautions.

“What to Expect When You're Expecting 4th Edition” by Heidi Murkoff, Sharon Mazel
from What to Expect When You’re Expecting 4th Edition
by Heidi Murkoff, Sharon Mazel
Simon & Schuster UK, 2010

In addition, a double uterus is occasionally associated with an obstructed hemivagina (often with ipsilateral renal agenesis); early diagnosis and excision of the obstructing vaginal septum will preserve fertility.

“Clinical Gynecologic Endocrinology and Infertility” by Leon Speroff, Marc A. Fritz
from Clinical Gynecologic Endocrinology and Infertility
by Leon Speroff, Marc A. Fritz
Lippincott Williams & Wilkins, 2005

Some other abnormalities such as double uterus and unicornuate uterus are more commonly manifested as preterm labor, characteristically occurring later with each successive pregnancy.

“Practical Guide to High Risk Pregnancy and Delivery E-Book” by Fernando Arias, Amarnath G Bhide, Arulkumaran S, Kaizad Damania, Shirish N Daftary
from Practical Guide to High Risk Pregnancy and Delivery E-Book
by Fernando Arias, Amarnath G Bhide, et. al.
Elsevier Health Sciences, 2012

Fortunately, such serious complications are uncommon, but naturally, the risk increases with increased uterine volume and distortion of the normal anatomy due to multiple fibroids [91].

“Reproductive Endocrinology and Infertility: Integrating Modern Clinical and Laboratory Practice” by Douglas T. Carrell, C. Matthew Peterson
from Reproductive Endocrinology and Infertility: Integrating Modern Clinical and Laboratory Practice
by Douglas T. Carrell, C. Matthew Peterson
Springer New York, 2010

A double uterus with an associated double vagina will develop where there has been complete failure of fusion.

“Myles' Textbook for Midwives E-Book” by Jayne E. Marshall, Maureen D. Raynor
from Myles’ Textbook for Midwives E-Book
by Jayne E. Marshall, Maureen D. Raynor
Elsevier Health Sciences, 2020

This has lower risks than intraabdominal surgery, but has the significant risk of developing scar tissue within the uterus that can impede future fertility.

“Uterine Myoma, Myomectomy and Minimally Invasive Treatments” by Andrea Tinelli, Antonio Malvasi
from Uterine Myoma, Myomectomy and Minimally Invasive Treatments
by Andrea Tinelli, Antonio Malvasi
Springer International Publishing, 2014

The inherent risk in multiple gestations depends largely on whether single or multiple placentas are present and on whether there is a shared amniotic sac.

“The Reproductive System at a Glance” by Linda J. Heffner, Danny J. Schust
from The Reproductive System at a Glance
by Linda J. Heffner, Danny J. Schust
Wiley, 2010

The women must also be informed that the risk of miscarriage, premature labor and delivery, abnormal fetal position and placental abruption is increased during pregnancies with uterine fibroids [17].

“Hysterectomy: A Comprehensive Surgical Approach” by Ibrahim Alkatout, Liselotte Mettler
from Hysterectomy: A Comprehensive Surgical Approach
by Ibrahim Alkatout, Liselotte Mettler
Springer International Publishing, 2017

Oktay Kutluk

Kutluk Oktay, MD, FACOG is one of the world's foremost experts in fertility preservation as well as ovarian stimulation and in vitro fertilization for infertility treatments. He developed and performed the world's first ovarian transplantation procedures as well as pioneered new ovarian stimulation protocols for embryo and oocyte freezing for breast and endometrial cancer patients.

Mail: [email protected]
Telephone: +1 (877) 492-3666

Biography: https://medicine.yale.edu/profile/kutluk_oktay/
Bibliography: oktay_bibliography

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  • Natalie, Thats for sharing your pregnancy story. I have a double uterus with a septum and am sometimes terrified when I think about getting pregnant. More women like you (and me) need to share their stories! Honestly my doctor hasn’t been able to tell me much as I am the first she’s diagnosed. You and your story is an amazing resource for all women out there. thanks again!