What Is Didelphic Uterus?: Causes And Symptoms
Each hemiuterus communicates with its salpinx and is in relationship with the ipsilateral ovary.
The didelphic uterus depends on an incomplete fusion of the Müller ducts (i.e. the structures from which the uterine cavity originates) during embryonic life. This anomaly can be associated with other malformations, such as renal agenesis and double cervix and/or vagina .
In some cases, the bicornuate uterus can result in pain during intercourse ( dyspareunia ) and dysmenorrhea .
This malformation does not compromise fertility , but can complicate pregnancy with placental abruption , premature rupture of membranes, fetal growth retardation , breech or transverse presentation of the baby at the time of labour. Furthermore, this anomaly can induce miscarriages and preterm birth . To prevent these complications, cerclage of one or both cervical necks may be indicated during pregnancy.
