Having a Double Uterus

In the womb, the uterus of a female fetus begins as two small tubes. As the fetus grows, these tubes join together to form a large, hollow organ, the uterus. Sometimes the tubes do not join completely and each forms a separate cavity. This is called a double uterus. In a double uterus, they usually each have a separate cervix. Some women with a double uterus also have a double vagina or a vagina that is divided into two. A double uterus is a very rare condition, sometimes not even diagnosed. A double uterus develops in 2 to 4% of normal pregnancies.

What are the symptoms?

Some women with a double uterus are not even aware of their condition. They may not even be aware of it during pregnancy and childbirth. Symptoms may include the following;

– Feeling a mass in the abdomen

– Unusual pain before and during menstruation

– Excessive bleeding during menstruation

Why does it happen?

Researchers do not know the exact cause. But the condition is often associated with kidney abnormalities. This suggests that something is affecting the development of the tubes in the period before birth.

How is the diagnosis made?

Your doctor makes the diagnosis during a normal examination because your cervix is double and your uterus is shaped differently. However, if he suspects something abnormal, he will order further tests.

– Ultrasound, computed tomography (CT) and magnetic resonance imaging (MRI) are used to scan your internal organs.

– With hysterosalpigography, a dyed substance is injected into the uterus and the shape of the uterus is determined with X-rays.

– With hysteroscopy, your doctor inserts a thin, lighted tube into your uterus and looks inside the uterus.

– With laparoscopy, a small incision is made in the abdomen and a lighted fiber optic instrument is inserted into the abdomen to look at the organs there.

What can it lead to?

Most women with a double uterus have a normal sex life, pregnancy and childbirth. But sometimes it can cause infertility and miscarriage. Sometimes it can cause premature birth and abnormal positioning of the baby in the uterus.

Do you need treatment?

If you have a double uterus and do not have any symptoms or complaints, treatment is hardly necessary. Surgical joining of a double uterus is rarely done. If you are pregnant, you should talk to your doctor about possible problems. Your doctor will advise you on how to prevent premature labor and how to manage the birth.

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