The so-called immature uterus is a congenital dysplasia. Although the structure and shape of the uterus are normal, the volume of the uterus is relatively small, which can cause infertility in women. The immature uterus must be discovered and treated early. Some immature uteruses can successfully conceive after good treatment. Patients must undergo a good examination in time and, after a good examination, receive symptomatic treatment. An immature uterus, also known as uterine hypoplasia, refers to a uterus with normal structure and shape, but a smaller size and a relatively long cervix, which is an important reason for infertility. There are two common types of immature uterus in clinical practice: one is the adolescent uterus, which is more common, and the ratio of the uterine cavity to the cervical canal is about 1:1; the other is the infantile type, and the ratio of the uterine cavity to the cervical canal is about 1:2, and it is often accompanied by ovarian hypoplasia. 1.Ultrasound measurement of the uterus Uterine hypoplasia can only be diagnosed when the length, width and thickness of the uterus measured by B-ultrasound are less than 5 cm, 4 cm and 2 cm respectively. A vaginal ultrasound is more accurate than a regular abdominal ultrasound. It should be noted that a diagnosis should never be made rashly based on simple B-ultrasound measurements or even just gynecological internal examinations. 2. Measuring uterine capacity The method to measure the size of the uterus is to measure the capacity of the uterus. If the capacity is less than 5 ml, it can be diagnosed as uterine dysplasia. This diagnostic method requires injecting liquid into the uterine cavity for measurement, which is somewhat painful. However, these two diagnostic methods may lead to certain misdiagnosis. 3. Others Six sex hormone tests, pituitary stimulation test, vaginal color Doppler ultrasound, hysterosalpingography, and laparoscopic exploration when necessary. The specific treatment plan depends on the examination results. Gynecological examination, B-ultrasound examination, and hysterosalpingography can confirm the diagnosis. Patients with severe uterine dysplasia often have combined endocrine dysfunction and systemic diseases. Therefore, it is necessary to do six sex hormone tests and other organ function tests at the same time. |
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