How to check for unicornuate uterus

I believe that many women should be unfamiliar with the concept of unicornuate uterus. Unicornuate uterus mainly refers to the fact that only one side of the patient's fallopian tube is developed, and the other side is not fully developed. Therefore, unicornuate uterus will affect a woman's normal ability to conceive. At the same time, since unicornuate uterus does not cause too many symptoms to women after it occurs, many patients are unable to detect it in time. But what method should be used when detecting a unicornuate uterus?

Symptoms and examination of unicornuate uterus

Experts say that most patients with unicornuate uterus have no obvious symptoms. If the endometrium of a partial rudimentary horn of the uterus is functional but its uterine cavity is not connected to the unicornuate uterine cavity, dysmenorrhea often occurs due to retrograde menstrual blood or blood accumulation in the uterine cavity, and endometriosis may also occur. The main reason for infertility and miscarriage caused by unicornuate uterus is the small size and abnormal shape of the uterine cavity. Correcting the uterine cavity shape is the fundamental method to treat this disease.

Methods for diagnosing a unicornuate uterus include :

1. Uterine iodine contrast: The result shows a uterine cavity and a fallopian tube, which are unilaterally inclined to one side of the pelvic cavity;

2. B-ultrasound: The image shows that the uterus is unicornous and one ovary is visible. Note whether the contralateral kidney is absent.

Symptoms of unicornuate uterus:

1. Pain: About 40% of patients suffer from abdominal pain, 25% suffer from back pain, and 45% suffer from dysmenorrhea. Some patients also suffer from a feeling of heaviness in the lower abdomen or back pain, but the degree of pain is usually not very serious. If some patients have red degeneration of uterine fibroids, the abdominal pain will be more severe and accompanied by fever.

2. Infertility and miscarriage: Infertility may be the reason for seeking medical treatment, and uterine fibroids are often discovered during examination. There are many reasons why uterine fibroids cause infertility, so special attention should be paid to this.

3. Vaginal bleeding: Vaginal bleeding is the most common symptom of uterine fibroids, occurring in half or more of patients. Subserosal uterine fibroids usually do not cause vaginal bleeding. When the intramural fibroids are large, they may affect uterine contraction or increase the area of ​​the endometrium, causing excessive menstruation or prolonged menstruation. If it is a submucosal fibroid, there will be irregular vaginal bleeding and continuous bleeding.

4. Compression symptoms: Different compression symptoms may occur due to the different growth locations and sizes of uterine fibroids.

5. Abnormal leucorrhea: Enlargement of the uterine cavity, increase in endometrial glands, accompanied by pelvic congestion or inflammation will increase leucorrhea. When submucosal fibroids ulcerate, become infected, bleed, or necrotize, bloody leucorrhea or purulent leucorrhea will occur, and the amount can be large.

6. Abdominal mass: Lower abdominal mass is often the main complaint of patients with uterine fibroids, accounting for as high as 69.9%. Sometimes it may also be a symptom of fibroids. Abdominal masses are usually discovered after uterine fibroids grow out of the pelvic cavity and are often obvious in the early morning when the bladder is full and the stomach is empty.

Conclusion: The above is what the editor has brought to you about what examinations to do for unicornuate uterus. Female friends must pay attention to their physical health. I hope the editor’s article can help you.