"Uterus didelphys" medically refers to congenital uterine anomalies, structural abnormalities of the uterus present from birth, which appear in various forms. However, the term "uterus didelphys" commonly used by people specifically refers to either Uterus Didelphys (a clearly divided uterus into two parts) or Bicornuate Uterus (a heart-shaped uterus).
Here is an overview to clarify understanding of this condition.
1. Characteristics of Uterus Didelphys (Double Uterus)
Normally, the uterus begins as two tubes that fuse in the middle during embryonic development in the womb. But for those with "uterus didelphys":
Structure: The two tubes do not fuse, resulting in two distinct, separate uteruses.
Components: Each uterus may have its own fallopian tube and ovary. Some cases may also have two cervixes or even two vaginal canals (vaginal septum).
2. Effects on the Body
Most women with this condition are unaware of it because their external anatomy and sexual function appear normal. It is usually detected during a pelvic exam or ultrasound, and may present with symptoms such as:
Severe menstrual pain: This can occur because menstrual blood may not drain properly from one side.
Abnormal bleeding: Even when using a tampon, bleeding may continue because blood comes from the other uterus side not blocked by the tampon.
Pain: Discomfort during intercourse may occur if there is a vaginal septum.
3. Fertility (Chances and Risks)
The answer is "Yes, pregnancy is possible," but it is considered a high-risk pregnancy requiring close monitoring by a specialist.
Key Points | Details and Risks |
Fertilization | Pregnancy can occur normally, and in rare cases, pregnancies in both uteruses simultaneously are possible. |
Uterine space | Each uterus is smaller than normal, limiting the space available for the fetus. |
Preterm birth | There is a high risk due to limited uterine expansion or the uterus not tolerating stretching. |
Fetal position | The fetus often is not in the head-down position (commonly breech or transverse), leading to delivery mostly by cesarean section. |
Miscarriage | There is a slightly higher risk of miscarriage in the first or second trimester compared to normal cases. |