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Posted by CKI Doctor Nguyen Thi Kim Dung - Obstetrics and Gynecology Center - Vinmec Times City International General Hospital
Most women with uterine malformations have no trouble getting pregnant and have normal pregnancy results. However, uterine malformations are often detected in infertile women with recurrent miscarriages and premature births.
1. Types of malformations and abnormalities of the uterus that affect the ability to get pregnant
Uterine malformation grading according to ESHRE/ESGE 2013:
Grade 0: Normal uterus (Figure 1: Class Uo/ Normal uterus) Grade I: Abnormal uterus (Figure 2: Class U1/ Dysmorphic uterus): Ia : T-shaped uterus; Ib: Uterine pediatricization; Ic: Other Grade II: Separated uterus (Figure 3: Class U2/ Septate uterus): IIa: Partially dissected uterus; IIb: uterus fully dissected Grade III: Bicornuate uterus (Figure 4: Class U3/ Biocorporeal uterus): IIIa: Partially bicornuate uterus; IIIb: Fully bicornuate uterus; IIIc: Bicornuate uterus with septum. Grade IV: Unicornuate uterus (Figure 5: Class U5/ Hemi uterus): : IVa: primitive horn with sinuses; IVb: primitive horn without sinuses. Grade V: Aplastic uterus: (Figure 6: Class U6/ Aplastic uterus): Va: primitive horn with sinuses; Vb: primitive horn without sinuses Grade VI: Unspecified
Phân độ dị dạng tử cung theo ESHRE/ESGE 2013
Uterine malformations often cause no symptoms, in some cases can cause pain in uterine malformations causing obstruction. Most women with uterine malformations have no trouble getting pregnant and have a normal pregnancy outcome. However, uterine malformations are often detected in infertile women and consecutive miscarriages and premature births.
Depending on the classification and severity, uterine malformations can cause infertility (grade V), increase the risk of miscarriage in the first and second months, premature birth, intrauterine growth retardation (grade I). , II, III), preeclampsia and abnormal fetal position (grade Ia, II, III).
2. How to detect uterine malformations/abnormalities?
Routine gynecological examination is the best way to detect genital malformations, especially if there are abnormal symptoms accompanied by: delayed puberty, dysmenorrhea, primary amenorrhea, infertility, miscarriage. consecutive....
Thường xuyên có triệu chứng đau bụng bất thường nên đi khám phụ khoa
When physical examination and ultrasound can detect uterine malformations, 3D ultrasound is used to confirm the diagnosis. When complex uterine malformation is suspected, the diagnosis is confirmed by MRI combined with laparoscopy and hysteroscopy.
When detecting abnormalities / abnormalities of the uterus, depending on the grade, the doctor will advise specifically on the risk and plan of pregnancy as well as monitor the pregnancy. Surgical treatment is only recommended for women with recurrent miscarriages and septal malformations. In this case, surgery can increase the chances of a successful pregnancy despite the risks of surgery, especially scarring of the uterus.
Vinmec International General Hospital with a system of modern facilities, medical equipment and a team of experts and doctors with many years of experience in neurological examination and treatment, patients can completely peace of mind for examination and treatment at the Hospital.
To register for examination and treatment at Vinmec International General Hospital, you can contact Vinmec Health System nationwide, or register online HERE.
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