Miscarriage & Disease

How Much Do You Know About Uterine malformation?!

Do you know that uterine malformations can also lead to recurrent spontaneous abortion (RSA)/ miscarriages? Most of patients with the uterine malformation will be accompanied by fetal arrest or malposition, which will lead to miscarriages. If there is no diagnosis or treatment, it may be progressed to recurrent spontaneous abortion (RSA)/ Miscarriages. Congenital uterine dysplasia is the most common type of genital malformation, and provides great clinical significance. In the process of evolution, the bilateral mullerian ducts are affected and interfered by certain factors, and can stop development at different stages of evolution to form various dysplastic uterus. 

Diagnosis of uterine malformation: If the patient has history of primary amenorrhoea, dysmenorrhea, infertility, ectopic pregnancy, recurrent spontaneous abortion (RSA)/ miscarriages, malposition or obstructed labor, etc., the first possibility of uterine malformation should be considered, and further detailed medical history should be asked and gynecological examination should be performed. Dynamic digital hysterosalpingography (HSG), vaginal 4D color Doppler ultrasound and electronic stereoscopic hysteroscopy-laparoscopy (Hsc-Lsc) examination could confirm the diagnosis. Genital malformations are often associated with urinary system malformations or lower gastrointestinal malformations, if necessary, intravenous pyelography or barium enema examination can be used. When a urinary tract or lower gastrointestinal malformation is found, detailed examination of genital malformations, including uterine malformations is also required. 

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