Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
Hostname: page-component-797576ffbb-jhnrh Total loading time: 0 Render date: 2023-12-02T13:31:01.726Z Has data issue: false Feature Flags: { "corePageComponentGetUserInfoFromSharedSession": true, "coreDisableEcommerce": false, "useRatesEcommerce": true } hasContentIssue false

Chapter 7 - Müllerian Duct Anomalies

Published online by Cambridge University Press:  28 January 2023

By
Cara E. Williams
Edited by
Naomi S. Crouch  and
Cara E. Williams
Naomi S. Crouch
Affiliation:
St Michael's Hospital, Bristol
Cara E. Williams
Affiliation:
Liverpool Women's Hospital
Get access

Summary

Congenital Müllerian anomalies occur in approximately 5% of females. Patients with simple anomalies may be asymptomatic and diagnosed incidentally during investigations for other gynaecological problems or in pregnancy. Others can present in a number of different ways and at different ages depending on the type of anomaly. The most common presentations include primary amenorrhoea, obstructed menstruation, dysmenorrhoea, dyspareunia, difficulty with tampons, infertility and recurrent miscarriage.

Type
Chapter
Information
Paediatric and Adolescent Gynaecology for the MRCOG , pp. 51 - 56
Publisher: Cambridge University Press
Print publication year: 2023

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Fertility Society. The American Fertility Society classifications of adnexal adhesions, distal tubal occlusion secondary due to tubal ligation, tubal pregnancies, Müllerian anomalies and intrauterine adhesions. Fertil Steril. 1988;49:944–55.Google Scholar
Grimbizis, GF, Gordts, S, Di Spiezio Sardo, A, Brucker, S, De Angelis, C, Gergolet, M, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod. 2013;28(8):2032–44.CrossRefGoogle ScholarPubMed
Williams, CE, Nakhal, RS, Hall-Craggs, MA, Wood, D, Cutner, A, Pattison, SH, et al. Transverse vaginal septae: management and long-term outcomes. Br J Obstet Gynaecol. 2014;121(13):1653–8.CrossRefGoogle ScholarPubMed
Williams, CE, Cutner, A, Creighton, SM. Laparoscopic management of high transverse vaginal septae: a case report. Gynecol Surg. 2013;10(3):189–91.CrossRefGoogle Scholar
Chan, YY, Jayaprakasan, K, Zamora, J, Thornton, JG, Raine-Fenning, N, Coomarasamy, . The prevalence of congenital uterine anomalies in unselected and high-risk populations: a systematic review. Hum Reprod Update. 2011;17(6):761–71.CrossRefGoogle ScholarPubMed
Homer, H, Li, TC, Cooke, ID. The septate uterus: a review of management and reproductive outcome. Fertil Steril. 2000;73(1):1–14.CrossRefGoogle ScholarPubMed
Pados, G, Tsolakidis, D, Athanatos, D, Almaloglou, K, Nikolaidis, N, Tarlatzis, B. Reproductive and obstetric outcome after laparoscopic excision of functional, non-communicating broadly attached rudimentary horn: a case series. Eur J Obstet Gynecol Reprod Biol. 2014;182C:33–37.CrossRefGoogle Scholar
Adolph, AJ, Gilliland, GB. Fertility following laparoscopicremoval of rudimentary horn with an ectopic pregnancy. J Obstet Gynaecol Can. 2002;24(7):575–6.CrossRefGoogle ScholarPubMed
Creighton, SM, Davies, MC, Cutner, A. Laparoscopic management of cervical agenesis. Fertil Steril. 2006;85(5):1510.CrossRefGoogle ScholarPubMed
Deffarges, JV, Haddad, B, Musset, R, Paniel, BJ. Utero-vaginalanastomosis in women with uterine cervix atresia: long term follow-up and reproductive performance – a study of 18 cases. Hum Reprod. 2001;16(8):1722–5.CrossRefGoogle ScholarPubMed
Kriplani, A, Kachhawa, G, Awasthi, D, Kulshrestha, V. Laparoscopic-assisted uterovaginal anastomosis in congenital atresia of uterine cervix: follow-up study. J Minim Invasive Gynecol. 2012;19(4):477–84.CrossRefGoogle ScholarPubMed
Hall-Craggs, MA, Williams, CE, Pattison, SH, Kirkham, AP, Creighton, SM. Mayer–Rokitansky–Kuster–Hauser syndrome: diagnosis with MR imaging. Radiology. 2013;269(3):787–92.CrossRefGoogle ScholarPubMed
Ismail-Pratt, IS, Bikoo, M, Liao, LM, Conway, GS, Creighton, SM. Normalization of the vaginaby dilator treatment alone in completeandrogen insensitivity syndrome and Mayer–Rokitansky–Kuster–Hauser syndrome. Hum Reprod. 2007;22(7):2020–4.CrossRefGoogle ScholarPubMed

Save book to Kindle

To save this book to your Kindle, first ensure coreplatform@cambridge.org is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle.

Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.

Find out more about the Kindle Personal Document Service.

Available formats
×

Save book to Dropbox

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox.

Available formats
×

Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

Available formats
×