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Kamis, 27 Desember 2012

Double uterus

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Double uterus

Definition:
In a female fetus, the uterus starts out as two small tubes. As the fetus develops, the tubes normally join to create one larger, hollow organ — the uterus. Sometimes, however, the tubes don't join completely. Instead, each one develops into a separate structure. This condition is called double uterus (uterus didelphys).

Double uterus is rare — and sometimes not even diagnosed. The percentage of women with a double uterus is likely higher in women with a history of miscarriage or premature birth.
Treatment is needed only if a double uterus causes symptoms or complications, such as pelvic pain or repeated miscarriages.


Symptoms:
Some women have a double uterus and never realize it — even during pregnancy and childbirth. Each cavity in a double uterus often leads to its own cervix. Some women with a double uterus also have a duplicate or divided vagina.
Possible signs and symptoms may include:
  • Unusual pain before or during a menstrual period
  • Abnormal bleeding during a period, such as blood flow despite the use of a tampon
When to see a doctor
If you have signs and symptoms common to a double uterus, make an appointment with your doctor. Receiving an early diagnosis is especially important if you plan to become pregnant, or if you've had repeated miscarriages. Your doctor can recommend treatment options to improve your chances of getting pregnant, staying pregnant and having a safe delivery.
If you've been diagnosed with a double uterus and are considering pregnancy, talk with your doctor first. Together you can make a plan for optimal care during pregnancy and delivery.

Causes:
Researchers don't know what causes double uterus. This condition may be associated with kidney abnormalities, which suggests that something may influence the development of these related structures before birth.

Complications:
Many women with a double uterus have normal sex lives, pregnancies and deliveries. But sometimes a double uterus and other abnormalities of uterine development lead to infertility or miscarriage. A double uterus may also cause premature birth or unusual positions of the baby in the uterus, such as bottom down (breech presentation).

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