Clinical Presentations of Congenital Uterine Anomalies

Abstract

Objective: To observe clinical presentations of uterine anomalies.
Material & Methods: Uterine anomalies were detected during prenatal ultrasonography,
detected during LSCS done for various obstetric indications, discovered during EUA, and
detected during laparoscopy or laparotomy. The clinical data of these patients was reviewed
regarding age, parity, marital status and presenting symptoms. All data was entered in pre
designed proforma and analyzed using SPSS version 14.
Results: Total 43 cases of uterine anomalies were detected. Most common type of anomaly
detected was bicornuate uterus followed by uterus didelphys, arcuate uterus , unicornuate uterus
with non communicating horn and septate uterus. These anomalies clinically presented with fetal
malpresentations, dysmenorrhoea, retained placenta and primary infertility. Diagnosis was
confirmed during prenatal USG, examination under anesthesia, during LSCS, during
laparoscopy and laparotomy.
Conclusion: Women with uterine anomalies complain of symptoms such as dysmenorrhoea,
pelvic pain, but most are asymptomatic and diagnosed incidentally. They are frequently
complicated by obstetrical challenges such as preterm labour ,malpresentation and uterine
atony. Thus, when diagnosis of uterine anomaly is made, it is crucial to discuss with patients about
their expected prognosis on fertility and possible obstetrical outcomes and complications and to
provide appropriate therapy accordingly.
Keywords: Uterine anomalies, dysmenor