Double uterus is a rare anomaly that can cause problems associated with conception and childbirth. When it is detected, one can assume a significant decrease in a woman's ability to bear a child, however, it is impossible to speak about this with certainty. After all, medicine knows cases when a girl quite safely bore and gave birth to a baby, despite the presence of two uteruses.
Description
Double uterus in women is considered a pathology. But under certain conditions, this anomaly can be considered as the norm. For example, if a woman has no disorders in the reproductive system.
Even with two wombs, the body may not differ at all in its activity from he althy genital organs. That is why such an anomaly is often detected quite late. The menstrual cycle in women with a double uterus is absolutely normal, there are no adverse signs, problems with conception too.
Oddly enough, but such a deviation is not always visible even on ultrasound. So it can be said that two wombs are not in all casescause for concern.
Reasons
Such an anomaly, as a rule, is associated with the period of intrauterine formation of the child. The influence of negative factors entails a condition in which the two uterine cavities that each girl initially has do not combine into one organ. Among the conditions provoking this phenomenon, several causes of a double uterus can be distinguished:
- maternal intoxication;
- infectious pathologies of the reproductive system transferred during pregnancy;
- high stress;
- problems in ovarian function;
- abnormalities in the activity of the thyroid gland;
- uncontrolled use of strong drugs;
- diabetes mellitus;
- unhe althy food.
All these factors can lead to anomalies in the development of a future woman and the formation of two uteruses instead of one full-fledged organ. By the way, the possibility of having two vaginas is also not excluded.
Consequences
Despite the fact that medicine knows cases of successful birth of children even in the presence of such an anomaly in the mother, this structural feature of the body cannot be called safe. Most often, a double uterus and pregnancy are incompatible concepts.
In the presence of such a pathology, the diagnosis of infertility is made quite often. A woman with a double uterus may experience problems conceiving, preterm labor, abnormal bleeding, miscarriage, abnormal menstruation.
In some cases, serious therapy is required to fix the problem - not only physiotherapy and medications, but also surgery. Such an event is especially necessary if there is a threat of death of the child or mother during childbirth. Although it is best to treat before pregnancy.
Clinical picture
In fact, a double uterus may not manifest itself at all. Due to the fact that this disease is extremely rare, doctors may simply not detect it. But in some cases, certain symptoms of a double uterus are observed, which make it possible to suspect the presence of such a problem in a woman and conduct a thorough examination. The severity of these manifestations depends on the characteristics of each organism. Signs of a double uterus include:
- feeling of fullness in the lower abdomen;
- abnormal bleeding between periods;
- difficulty conceiving a child;
- frequent miscarriages;
- menstrual irregularities;
- pain in the lower abdomen;
- systematic occurrence of purulent or spotting.
Diagnosis
All the described symptoms indicate the presence of a serious problem in the organs of the reproductive system. To identify two uterus, a detailed diagnosis should be carried out. The main techniques are:
- colposcopy;
- Ultrasound of the pelvic organs;
- MRI;
- laparoscopy;
- retoabdominal examination;
- hysteroscopy.
Although in reality, an experienced gynecologist can detect pathology even with a simple examination.
Therapy
The presence of a double uterus in a woman does not mean that she needs to be treated. In some cases, this anomaly does not manifest itself in any way and does not affect the activity of the reproductive organs, so there is simply no need for any intervention. It is not necessary to cut out the second uterus if there are no problems, on the contrary, they may occur after its removal.
But if a woman has difficulty conceiving, frequent miscarriages occur, there are deviations in the menstrual cycle, treatment is necessary. As a rule, surgery is used to solve this problem. During the procedure, one organ is formed from two uterus by excision of the uterine septum.
If a woman with this anomaly has only menstrual irregularities, hormone therapy may be effective enough.
Features of pregnancy
The fear of many women diagnosed with a double uterus is, of course, understandable. Most of them, unfortunately, are fruitless. But the pathology itself does not exclude the possibility of pregnancy. But this anomaly is quite capable of provoking the appearance of all sorts of complications during the period of bearing a child.
Women with a double uterus may face the following challenges:
- preterm birth;
- abnormal embryo placement;
- miscarriage;
- weak generic activity;
- heavy bleeding after childbirth;
- accumulation of postpartum secretions in the uterine cavity.
Usually only one of the two organs can carry a baby. The second uterus is often rudimentary, that is, incapable of conception. Although it may begin to increase in size along with the fertilized organ. Usually this amazing process stops around the 4-5th month of pregnancy.
If a woman has a miscarriage, it is necessary to scrape out the cavity of both uterus.
Extremely rarely, the bearing of children is observed in both organs. In such cases, childbirth usually occurs at different times. Having given birth to one child, the woman only after a while returns for the second baby, which comes out of the second organ.
Need for abortion with double uterus
In some cases, a child in one of the organs cannot be saved. In such a situation, forced termination of pregnancy is necessary. Such an emergency measure is required if the continued bearing of the fetus poses a threat to the life of the child or mother. Abortion should be performed if observed:
- incorrect embryo implantation;
- insufficient development of the endometrium or the vascular wall of the uterus;
- hormonal abnormalities;
- the cervix does not close the exit from the organ;
- child develops in non-working uterus(rudimentary).
Conclusion
Pregnancy in a woman with a double uterus is actually not as scary as it might seem at first. You just need to remember that with such a disease, you need to be as attentive as possible to your own he alth and carefully monitor it.
Timely detection and referral to a gynecologist can help with successful treatment and, consequently, the conception of a child. If a double uterus is dangerous for life or he alth, it is necessary to perform an operation even before pregnancy. In this case, such a radical solution to the problem will help prevent the occurrence of many undesirable consequences.
If a woman does not plan to conceive a baby in the near future, she should definitely worry about a reliable method of contraception. Do not forget that forced abortion with a double uterus can lead to all sorts of complications.
Such an anomaly is considered a rather serious and dangerous pathology that requires maximum responsibility from the future mother. A pregnant woman should be constantly monitored by a gynecologist and carefully monitor her condition.
It is very important to follow all doctor's instructions. In addition, you should take care of your he alth, avoiding tedious work, stress, the harmful effects of the environment - all these factors can negatively affect the situation. In addition, he althy nutrition, good rest and positive emotions are equally important. Any bad habits must be abandoned.
However, in somesituations, the gynecologist may insist on getting rid of the child. This may be necessary in order to save the woman's life. So do not immediately abandon such an unpleasant event. After all, bearing a child under certain circumstances can be extremely dangerous not only for the mother, but also for the baby himself.
