What should I do if a girl's uterus is small?

The uterus is a relatively important organ in the female body. As women begin to develop from girlhood, it is very common for some girls to have a small uterus during development. This is usually caused by being too thin or short. A small uterus can easily affect normal reproductive function and normal menstrual periods. It can be treated with estrogen.

The size of the uterus has a normal relationship with fertility. If the sum of the three diameters of the uterus is less than 12 cm, it is a childish uterus, which can lead to amenorrhea and infertility. If the sum of the three diameters of the uterus is greater than 12 cm and slightly smaller than normal, it will not affect normal fertility.

treat

For immature uterus, estrogen and progesterone therapy is generally used for treatment

Clinical manifestations

1. Congenital absence of uterus: The paramesonephric ducts on both sides extend horizontally toward the midline and merge. If they stop developing before reaching the midline, no uterus will be formed. Congenital absence of the uterus is often combined with congenital absence of the vagina, but there may be normal fallopian tubes and ovaries. During rectal examination, the uterus cannot be touched at the area equivalent to the cervix and uterine body, but only the peritoneal folds can be felt.

2. Primitive uterus: If the two mesonephric ducts on both sides extend horizontally to the midline and meet and then stop developing shortly after that, this type of uterus is very small, usually without a uterine cavity or with a uterine cavity but without endometrial growth, and therefore no menstruation.

4. Immature uterus: This is caused by the cessation of development for a short period of time after the fusion of the paramesonephric ducts. When a baby is born, the ratio of the total length of the uterus to the cervix is ​​3:2. After puberty, this ratio changes to the adult ratio of 3:1. If after puberty the uterus is smaller than normal, the cervix is ​​conical and relatively long, and the ratio of the uterine body to the cervix is ​​1:1 or 2:3, it is called an immature uterus.

The uterus stops developing in late pregnancy or at any time after the fetus is born and before puberty, and various degrees of uterine hypoplasia may occur. The cervix of this type of uterus is relatively long, mostly conical, with a small external os; the uterine body is smaller than normal and often extremely anteverted or retroverted. Those with anteroflexion often have underdeveloped anterior uterine wall, while those with retroflexion often have underdeveloped posterior uterine wall. An immature uterus can cause dysmenorrhea, oligomenorrhea, amenorrhea or infertility.