What is a double uterus?

Double uterus is a relatively common condition in medicine, and there are many reasons for it. Generally speaking, uterine malformation can easily lead to double uterus. The presence of double uterus in the body greatly affects normal pregnancy, and it can also easily lead to menstrual irregularities, dysmenorrhea, etc., and it can also easily cause pain during sexual intercourse.

1. What is a double uterus?

Uterus dolbers is a reproductive tract malformation that occurs when the Müllerian ducts on both sides develop normally but do not completely fuse during embryonic development. Each develops into a double uterus with its own fallopian tube, each with its own function, forming a double uterus, double cervix, and often double vagina.

During embryonic development, due to certain factors in the internal and external environment, the two mesonephric ducts fail to fuse, which can lead to various malformations. For example, if they fail to fuse at all, each develops into two uteruses and two cervixes, and the vagina is often completely separated, with each left and right uterus having a single fallopian tube and ovary.

Uterus didelphys has two sets of uteruses connected to the fallopian tubes, double cervixes and double vaginas, separated by connective tissue; there are also symptoms of uterus didelphys with no septum between the vaginas, resulting in double uterus and single vagina.

1) Asymptomatic. Many women with double uterus do not have any symptoms, just like other women, because double uterus is just a defect in organ development, not a real disease.

2) The menstrual blood volume may be heavier and the menstrual period may be longer. Patients with double uterus are prone to uterine hypoplasia on one side. Both uteruses will produce menstrual cycles, but when menstruation comes, one side of the cervix may "disappear", resulting in the inability to discharge menstruation normally and causing pain. There is even a phenomenon of menstrual blood accumulating and forming cysts, which can only be discovered through a detailed B-ultrasound examination.

3) Pain during sexual intercourse may occur. Because the vaginal septum hinders sexual intercourse, dyspareunia or dyspareunia may occur.

3. How to detect double uterus?

The structural abnormality of the double uterus is congenital, that is, it is present at birth. After entering puberty, most people will not experience menstrual abnormalities, so it is difficult to discover that the structure of their uterus is different. Gynecological examination revealed double uterus, double cervix, and double vagina. B-ultrasound showed double uterus and hysterosalpingography to confirm the diagnosis.

Does a double uterus have any impact on women's normal life and reproductive function?

1. Women with double uterus are more likely to experience symptoms such as irregular menstruation and dysmenorrhea. Patients with double uterus are prone to uterine hypoplasia on one side, which can easily cause dysmenorrhea. Because both uteruses produce menstrual cycles, but when menstruation comes, one side of the cervix may "disappear", so that menstruation cannot be discharged normally and is deposited in the uterus, causing dysmenorrhea and even other diseases.