Uterus Didelphys: Causes, Symptoms, Diagnosis & Treatment

Mar-07-2025
Uterus Didelphys: Causes, Symptoms, Diagnosis & Treatment

What Is Uterus Didelphys?

Uterus didelphys is a rare congenital condition where a woman is born with two separate uteri and sometimes two cervices. This condition occurs due to incomplete fusion of the Müllerian ducts during fetal development. While some women may experience no symptoms, others may face menstrual irregularities, recurrent miscarriages, or pregnancy complications.

Causes of Uterus Didelphys

Uterus didelphys is a congenital abnormality, meaning it develops before birth. The primary cause is improper fusion of the Müllerian ducts, which are responsible for forming the female reproductive system. The exact reasons for this developmental failure are unknown, but potential risk factors include:

  • Genetic predisposition

  • Exposure to certain medications or toxins during pregnancy

  • Developmental defects in the fetus

Common Symptoms of Uterus Didelphys

Symptoms can vary depending on the severity of the condition. Some women may remain asymptomatic, while others may experience:

  • Painful or irregular menstruation

  • Recurrent miscarriages

  • Difficulty conceiving

  • Premature labor or breech pregnancy

  • Two vaginal canals in rare cases

If you experience any of these symptoms, seeking medical advice is crucial for proper evaluation and treatment.

How Is Uterus Didelphys Diagnosed?

Many women discover they have uterus didelphys during routine gynecological exams or pregnancy scans. Diagnostic methods include:

  • Ultrasound – A transvaginal ultrasound helps detect uterine abnormalities.

  • MRI (Magnetic Resonance Imaging) – Provides a detailed view of the reproductive organs.

  • Hysterosalpingography (HSG) – An X-ray test that evaluates the uterus and fallopian tubes.

  • Hysteroscopy – A minimally invasive procedure to examine the uterine cavity.

Early diagnosis can help manage potential complications and improve fertility outcomes.

Treatment Options for Uterus Didelphys

Treatment depends on symptoms and reproductive health goals. While asymptomatic women may not require treatment, others may benefit from the following options:

1. Surgical Correction

  • In rare cases, metroplasty (surgical unification of the uteri) may be performed to enhance fertility.

2. Fertility Treatments

  • Women struggling to conceive may need assisted reproductive techniques like IVF (In Vitro Fertilization).

  • A personalized fertility treatment plan can improve pregnancy success rates.

3. Pregnancy Monitoring

  • High-risk pregnancies require close monitoring to prevent complications such as preterm labor or miscarriage.

Uterus Didelphys and Pregnancy: What You Need to Know

Pregnancy with uterus didelphys can be challenging but not impossible. Many women with this condition have successfully carried pregnancies to term with proper medical care. Key considerations include:

  • Higher risk of miscarriage or preterm labor

  • Need for C-section delivery due to abnormal uterine shape

  • Frequent prenatal checkups to monitor fetal development

At New World Fertility, our specialists provide comprehensive care to women with uterus didelphys, ensuring personalized fertility solutions and high-risk pregnancy management.

Why Choose New World Fertility for Uterus Didelphys Treatment?

At New World Fertility, we offer advanced diagnostic tools, fertility treatments, and high-risk pregnancy care to women with uterus didelphys. Our expert team provides:

  • Personalized fertility treatments, including IVF

  • Cutting-edge diagnostic techniques

  • High-risk pregnancy management for better maternal and fetal outcomes

If you’ve been diagnosed with uterus didelphys or are experiencing fertility challenges, consult our fertility specialists today.

FAQs on Uterus Didelphys

Q1: Can a woman with uterus didelphys have a normal pregnancy?
Yes, but the risk of miscarriage, preterm labor, and breech presentation is higher. Close monitoring is essential.

Q2: Is uterus didelphys a hereditary condition?
There is no direct evidence of inheritance, but a genetic predisposition may play a role.

Q3: How is uterus didelphys different from a bicornuate uterus?
Uterus didelphys involves two completely separate uteri, whereas a bicornuate uterus has a single uterus with a partial division.

Q4: What are the treatment options for women with uterus didelphys trying to conceive?
Fertility treatments like IVF, careful pregnancy monitoring, and in some cases, surgical correction can help improve the chances of conception.

Conclusion

Uterus didelphys is a rare but manageable condition. Early diagnosis, proper treatment, and personalised fertility care can improve reproductive outcomes. At New World Fertility, we specialise in helping women with congenital uterine anomalies achieve successful pregnancies. If you suspect you have uterus didelphys or are struggling with fertility, contact our experts for a consultation today.