Content
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1 Anomalies of the reproductive organs
- 1.1 Full and partial doubling of uterus and cervix
- 1.2 The partition in the mother's body
- 2 Causes
- 3 Impact on reproductive function
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4 Diagnosis and treatment methods
- 4.1 complications
Allocate a lot of vices uterine structures, which differ in the severity of symptoms and abnormalities. The doubling of the uterus - a congenital pathology of development, in which the body is divided into two parts. Such pathology causes menstrual dysfunction, infertility, which is an indication for surgery.
Anomalies of the reproductive organs
Pathology of uterine cavity formed in step fetal growth retardation, when they begin to be laid gender differences. The body of a pregnant woman is exposed to negative factors that provoke various anomalies of the anatomical structure of the child. These factors include:
- bad habits of the pregnant woman;
- harmful effect of manufacturing conditions;
- the viral nature of the infection;
- reception of certain pharmacological agents;
There are many variations of vices:
- doubling the uterine cavity at a vagina;
- antlered;
- saddle;
- presence partitions inside.
Such diseases are detected at the first examination by a gynecologist. For a detailed investigation prescribed scan ultrasound and other medical procedures.
Full and partial doubling of uterus and cervix
The doubling of the uterus and the cervix are diagnosed very rarely. This is due to quality health care, which can prevent the occurrence of adverse effects on the fetus, which is the dominant cause of the bifurcation. In the absence of a merger or improper fusion of embryonic ducts, the cavity is separated.
In utero embryonic development is a gradual process of forming cells and tissues from which the internal organs are formed. The appearance of the uterine cavity in female embryos occurs in the first trimester of pregnancy. Initially, this body is divided by a partition, which is reduced with time.
Doubling may be manifested in different ways in terms of its process of formation. The uterine cavity is sometimes fixed partition, which divides it into two sections. The separate development of these departments are diagnosed full doubling of the vagina, cervix and cavity from which a fallopian tube to the ovary. Both genital organ can be separated from the rectum and the bladder or in contact with each other.
There are times when the full doubling One part of the uterus is progressing, and the other - to stop the development.
In the case of doubling the partial body, the partition is located only in the upper portion, the lower part is a single space.
Uterine abnormalities may not manifest itself, especially when bicornuate and saddle uterus. The main symptom indicating a doubling is infertility. Delay of menstruation in girls may also indicate a pathology.
The partition in the mother's body
Intrauterine partition - an anomaly in which the cavity is divided into two parts. Distinguish complete and incomplete septum. In the first case the formation of pathological passes through the uterine cavity, starting from the bottom and ending with the neck. Occasionally fixed inclusion going beyond the cervix to the vaginal area. incomplete septum length does not exceed 4 cm. Such formations may also be transverse, have different thicknesses.
Often, along with defect formation of the uterus and cervix diagnosed renal doubling.
In women with a similar defect observed problems with conception, frequent miscarriages. Differential diagnosis of septum in the uterus is difficult, and requires the use of modern diagnostic methods.
Causes
It was found that uterine malformations associated with the distortion of the processes of the healthy growth of the fetus. Factors influencing abnormal embryonic development are:
- carry-forward of infectious diseases in the first trimester of pregnancy;
- lack of vitamins and nutrients in the diet of pregnant;
- taking medication that can provoke malformations of the fetus;
- endocrine disorders;
- intense stress;
- strong toxicosis;
- intoxication of different nature: alcohol, drugs, nicotine, radiation.
Genetic predisposition also influences the occurrence of doubling.
Impact on reproductive function
At full doubling of uterus and cervix of a woman is able to conceive. After implantation of a fertilized egg in a woman's body the following changes occur:
- pregnancy accompanied by scanty menses;
- allocation of brown in the first trimester of pregnancy, which explains the rejection of the endometrial layer of the uterus without the ovum;
- recurrent pain in the lower abdomen.
Described symptoms are similar to typical signs of miscarriage, forcing gynecologists prescribe therapy aimed at maintaining pregnancy. In the absence of pathological manifestations woman wears a child and give birth on time.
When diagnosed infertility in the doubling of the uterus and cervix must be motivated to carry out IVF. The fertilized egg is implanted in the part of the body, which is more developed.
Diagnosis and treatment methods
Malformations of the uterus and cervix visually noticeable when gynecological examination. The following methods are used to correct differential diagnosis:
- ultrasound scanning;
- hysteroscopic examination;
- laparoscopy;
- MR.
In the initial stages, doctors prefer the gentle methods of diagnosis: MRI, ultrasonography. Hysteroscopic examination reveals an intrauterine septum, during the examination, you can remove the pathological education. Laparoscopy is combined with the removal of abnormal body portion.
Surgical intervention is not required in the case where a doubling of the uterus and the cervix does not affect the regularity of the cycle. For radical treatment resort in infertility, problems with the evacuation of menstrual blood, discomfort during sexual intercourse.
Surgery is indicated in:
- full doubling genitals, vagina and cervix;
- available rudimentary uterine horn;
- underdevelopment of one part of a double uterus;
- repeated abortions on the background of doubling the body;
- intrauterine septum;
- combined anomalies of the uterus with gynecological diseases.
The choice of therapeutic technique is determined individually, based on the clinical picture and the woman wishes to give birth.
complications
Doubling of uterus and cervix may impair overall health, causing:
- menstrual blood outflow;
- the formation of fistula;
- accession infection;
- pregnancy complications.
In order to prevent irreversible effects should monitor the status of genitals.
In most cases, a doubling of the uterus does not manifest itself, and does not prevent a woman from having children. But with the appearance of gynecological disorders in the background pathology doctors resort to surgical intervention.
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