Pelvic and Uterine Anomalies

We at Queen’s Gynecology believe in timely intervention of uterine and pelvic anomalies. Most of the time, women are unaware of these findings, these are incidental findings during surgery or during investigations. Our aim is to identify these anomalies using latest modalities such as 3d/4d ultrasound, laparoscopy and hysteroscopy and correct them simultaneously.

Treatment for pelvic and Uterine Anomalies:

• The treatment aims at preventing complications arising because of uterine and pelvic anomalies.
• Surgical management- Laparoscopy and hysteroscopy are ideal for correcting any anomaly.
• Conservative approach- in case there are no symptoms and complications and if treatment will not help in outcome.

FAQ's

1. Which uterine anomalies are most common?

Uterine anomalies, also known as uterine malformations or congenital uterine anomalies, are variations in the shape and structure of the uterus that develop during fetal development. The most common uterine anomalies include septate uterus, bicornuate uterus, and unicornuate uterus.

• Septate uterus:This occurs when a septum or wall divides the uterine cavity partially or completely. It is the most frequent anomaly and can potentially lead to recurrent miscarriages and infertility.
• Bicornuate uterus:In this anomaly, the uterus has a heart-shaped appearance due to a deep indentation at the top. It might lead to reproductive issues, but not all cases result in complications.
• Unicornuate uterus:Here, one side of the uterus doesn't develop properly, resulting in a single-horned structure. This anomaly can lead to higher-risk pregnancies, including preterm birth and other complications.

These anomalies can hugely impact reproductive health, potentially causing difficulties in conceiving or maintaining pregnancies. 

2. What is the best test for uterine anomalies?

Here are some of the best tests for diagnosing uterine anomalies:

• Transvaginal Ultrasound: This real-time imaging method is non-invasive and cost-effective. It's particularly useful for detecting common anomalies like septate, bicornuate, and unicornuate uterus.
• 3D/4D Ultrasound: Building upon traditional ultrasound, these techniques provide three-dimensional and even real-time four-dimensional images of the uterus. This enhances the visualization of complex anomalies and aids in better understanding the extent of the condition.
• Magnetic Resonance Imaging (MRI): MRI offers detailed, high-resolution images of uterine structures. It's especially valuable for diagnosing complex anomalies and aiding in treatment planning. However, it is more expensive than ultrasound and might not be necessary for all cases.
• Laparoscopy: A minimally intrusive surgical technique, laparoscopy includes inserting a camera via small incisions in the abdomen. It's used to assess external uterine abnormalities and their impact on fertility.
• Hysteroscopy: This includes inserting a slim camera via the cervix to instantly visualize the uterine cavity. It's particularly useful for assessing internal uterine structures and anomalies, and it's often employed when surgical intervention is being considered.

The choice of which test or combination of tests to use depends on the specific clinical context and the complexity of the anomaly.

3. What are the signs of a damaged uterus?

A damaged uterus can present with various signs that may indicate underlying issues. Common signs of a damaged uterus include:

• Irregular Menstrual Cycles: Frequent or irregular periods might suggest uterine damage, such as scarring or hormonal imbalances.
• Painful Menstruation: Severe cramping and pelvic pain during menstruation, known as dysmenorrhea.
• Abnormal Bleeding: Unusual bleeding patterns, such as heavy or prolonged periods, spotting between periods, or bleeding after menopause, can signal uterine problems.
• Infertility or Recurrent Miscarriages: Difficulty conceiving or experiencing multiple miscarriages could be related to uterine abnormalities.
• Pelvic Pain: Chronic or recurring pelvic pain that's not linked to menstruation might be attributed to conditions like adenomyosis or uterine fibroids.
• Painful Intercourse: Discomfort or pain during sexual intercourse, called dyspareunia, could result from conditions like endometriosis or uterine adhesions.
• Urinary or Bowel Symptoms: Uterine issues can sometimes exert pressure on adjacent organs, leading to urinary urgency, frequency, or bowel disturbances.

If you experience any of these signs, it's important to seek medical evaluation. At Queen's Gynecology, we perform appropriate diagnostic tests to determine the underlying cause and recommend suitable treatment options to address the damaged uterus and associated symptoms.