What Is Double Uterus During Pregnancy? Causes, Symptoms, Diagnosis & More

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A double uterus is an uncommon congenital abnormality that develops when a baby girl is in her mother’s womb. It is possible for a woman to carry the pregnancy to terms, but the condition might increase the risk of losing the unborn baby or premature labour. Your doctors will ask you to be mindful and view your pregnancy and see how your baby girl develops if you have a double uterus during pregnancy.

If the baby is refraining well, they might recommend an early delivery by a caesarean section (C-section).

In a female fetus, the uterus starts as two small tubes. As the fetus develops, the tubes normally join to create one larger, hollow organ — the uterus.

Often, however, the tubes do not join totally. Instead, each one turns into a separate structure. A dual womb might have one opening (cervix) right into one vaginal canal, or each uterine cavity may have a cervix. Often, a thin wall surface of tissue diminishes the length of the vagina, splitting it into two separate openings.

Women that have a double uterus normally have successful pregnancies. But sometimes, the condition can cause the risk of miscarriage or premature birth.

What Is Double Uterus?

When a baby girl is in her mother’s womb, a double uterus is an uncommon congenital impairment that happens. Every womb begins as two tiny tubes known as Mullerian ducts. They normally fuse with each other as well as expand to create one uterus. 

In rare cases, the tubes stay distinct and develops two uteri. A woman that has a double uterus might also have two vaginas. This condition can raise the danger of losing the unborn baby or premature delivery in some females, though it is very rare.

Is It Common?

The problem impacts concerning one in every 2,000 women worldwide. Around one of every 25,000 women with a double uterus conceives with twins, one in each uterus.

What Causes Double Uterus?

The double uterus is a congenital malformation that takes place in the embryo throughout the development of the women genital system. It occurs when two little tubes (Mullerian air ducts) fall short of fusing and turn into two different frameworks resulting in double uteri. This irregularity may happen in a foetus throughout the 6-22 weeks of pregnancy. The exact cause of the double womb is not yet discovered, but maybe because of genetics, a double uterus is understood to run in the family members.

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Symptoms of a Double Uterus

Double Uterus During Pregnancy
Image Souce: Parenting.firstcry.com

A double uterus is often asymptomatic. The problem may be discovered throughout a regular pelvic exam or imaging examinations to identify the reason for repeated miscarriages.

Ladies that have a double vagina in addition to a double uterus might originally get in touch with a doctor for menstruation bleeding isn’t prevented by a tampon. In these situations, the woman has placed the tampon into the first vagina. However, blood continues to leave from the 2nd vagina and uterus.

How Is Double Uterus Diagnosed?

During a routine pelvic exam, your doctor can spot a double cervix or a uterus that is not usual in shape. They can recommend any kind of test to check what is wrong. These examinations can likewise be prescribed if you have a history of miscarriages. The assessments you could be offered are the same in either instance, or those are stated listed below.

1. Ultrasound

Ultrasound utilizes high-frequency sound waves to create images of the inside of the body. The sonographer will place some jelly on the end of a transducer and spread it on the abdomen to examine your uterus. They might suggest a transvaginal ultrasound, in which the transducer is inserted into the vagina if they desire a better sight of the interior of the uterus.

2. Sonohysterogram

This one is similar to ultrasound, yet the uterus pictures are recorded after the liquid is injected into the uterus by a narrow tube inserted into the vagina. This assists the doctor to discover any irregularities in the uterus.

3. MRI Scan

Cross-sectional representations of the body are created using electromagnetic fields and radio waves. A woman needs to lay perfectly still in a system that looks like a big tunnel for this examination.

4. Hysterosalpingography (HSG)

A dye is infused into the womb through the cervix during this examination. X-rays help a medical professional see the range and shape of your uterus as the colour passes through it.

How To Treat Double Uterus?

In rare situations, a double uterus can be treated surgically. There is no need to treat women that have a double uterus but are not having any symptoms. Many that have repeated miscarriages for which there is no medical reason might suggest surgery. 

The surgical procedure would likely help them maintain their pregnancy going. Women who have a double uterus and a double vagina may benefit from genital surgery to eliminate the splitting membrane layer. This can make childbirth extra comfortable for them.

Does Double Uterus Cause Any Pregnancy Complications?

Lots of females with a double uterus have regular sex lives, pregnancies, and births. A dual womb and also other uterine development abnormalities are usually connected with: 

  • Inability to conceive(Infertility) – Women with a double uterus experience solid menstruation discharge. If the scenario comes to be uncontrollable, they might need to get medical assistance.
  • Pregnancy loss or early birth – This complication affects 15 to 30% of women with a double uterus. Women with a double uterus were unable to conceive in a relatively limited percentage of instances.
  • Irregularities of the kidney – Abnormalities in the Mullerian air duct may harm the Wolffian air duct, which forms in the fetus. Malformations in the Wolffian air duct may also cause kidney problems.
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When to See a Doctor?

Get medical support if you have menstruation circulation after using a tampon. If you experience severe pain during menstruation or if you have had several miscarriages. 

See a medical professional who is an expert in women’s reproductive systems disorders, such as a gynaecologist or a specialist in reproductive hormones and fertility optimization (reproductive endocrinologist).

To prepare for your appointment, do the following: 

  • Inquire if there is something you need to go on, such as tests for any kind of future exams.
  • Make a checklist of all menstrual dates you have had and how long they lasted.
  • Have a list of your important medical records and any other diseases you kept track of, along with the names of any type of medicines, spices, or drugs you are taking.
  • Have a household participant or buddy with you to make you remember anything, if necessary.
  • Create a checklist of questions to ask the doctor so that you can get the very best out of your consultation.

The following are a couple of fundamental inquiries that you need to ask your doctor:

  • What is the possible root cause of my signs and also indicators?
  • What are the reasons for this?
  • What will be the recovery method, and for how long it will take?
  • Is surgery a choice for me? If so, why or why not?
  • Does having a double uterus boost complications during pregnancy?
  • What options do I have, if any type of, to enhance my chances of healthy and balanced maternity?

The Bottom Line

It’s crucial to note that a double uterus is an unusual problem, and in most cases, it may go unnoticed as it does not have any type of signs and symptoms. Suppose you are identified with a double uterus during pregnancy; in that case, you need to speak to your medical professional and request the most effective treatment possible for you and your baby!

Sources & References:

  1. MayoClinic
  2. HTICenter
  3. Lobo RA, et al. Congenital abnormalities of the female reproductive tract. In: Comprehensive Gynecology. 7th ed. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed April 11, 2019.
  4. Laufer MR, et al. Congenital uterine anomalies: Clinical manifestations and diagnosis. https://www.uptodate.com/contents/search. Accessed April 11, 2019.
  5. Hoffman BL, et al. Anatomic disorders. In: Williams Gynecology. 3rd ed. New York, N.Y.: McGraw-Hill Education; 2016. https://accessmedicine.mhmedical.com. Accessed April 11, 2019.
  6. Kliegman RM, et al. Vulvovaginal and Mullerian anomalies . In: Nelson Textbook of Pediatrics. 20th ed. Philadelphia, Pa.: Elsevier; 2016. https://www.clinicalkey.com. Accessed April 11, 2019.
  7. Laufer MR, et al. Congenital uterine anomalies: Surgical repair. https://www.uptodate.com/contents/search. Accessed April 11, 2019.
  8. Laufer MR. Congenital anomalies of the hymen and vagina. https://www.uptodate.com/contents/search. Accessed April 11, 2019.
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