Xiaoling, 25, has had a menstrual cycle of more than 10 days since she was young. Later, after a one-time life, Xiaoling had recurrent vaginal inflammation. Xiaoling thought it was caused by her boyfriend, so after going to the hospital for gynecological examination, she didn’t expect to find out that she was a double vagina and a double uterus.
Xiaoling was very surprised. It is no wonder that since high school, her menstrual flow has been more than that of her peers. The confusion that has plagued her for many years has finally been solved. It turned out that it was all her uterus.
The doctor said that double uterus is not uncommon, but it is easy to be ignored.If women have problems such as long menstrual period, severe dysmenorrhea and abnormal vaginal discharge after menarche, it is best to check clearly as soon as possible to rule out the possibility of congenital malformation of reproductive tract.
The uterus is very special and important for women. It is a place for menstruation and pregnancy. Under normal circumstances, women only have one uterus, but there are also a few women who have the same as Xiaoling.Double uterus and vagina, clinically,This symptom is called oblique vaginal septum syndrome.
Vaginal oblique septum syndrome belongs to genital dysplasia.The main manifestations are congenital malformation of double cervix, double uterus, double vagina and complete or incomplete atresia of one vagina., mostly accompanied by atresia of vaginal urinary system malformation.
Source: Obstetrics and Gynecology, First Affiliated Hospital of Xijiao
The cause of oblique vaginal septum syndrome in women is related to the embryonic development process. Both hermaphroditic embryos have two sets of reproductive ducts, namely the mesonephric duct and the accessory mesonephric duct.About six weeks after embryonic development, the accessory mesonephros on both sides gradually develop female reproductive organs (uterus, fallopian tube and upper vagina) after complete fusion. In addition, the accessory mesonephros develop into urogenital sinus at the fourth week, which not only forms the kidney, but also induces the accessory mesonephros to fuse.
Once the development of the mesonephric duct is interrupted, the accessory mesonephric duct will also be affected, but because the other side is still developing normally, it will eventually lead to the consequences of asymmetric reproductive tract complicated with urinary system malformation, that is, the problem of double uterus.
At present, clinical oblique vaginal septum syndrome is mainly divided into three types.
Type I is a non-porous oblique septum type.: it usually occurs after menarche.Dysmenorrhea (progressive aggravation)The main manifestation is that the menstrual blood on the oblique septum can not be fully discharged, and the menstrual blood may flow back into the abdominal cavity, leading to pelvic inflammatory disease, pelvic abscess and other secondary infections.
Type ⅱ is a perforated oblique partition type:Mainly manifested as followsProlonged menstrual cycle, endless menstrual dripping and brown secretion.Or complicated with infection, resulting in pus in the posterior compartment, and the secretion is purulent with odor.
Type ⅲ is the type of imperforate oblique septum combined with cervical fistula.: the patient’s menstrual period is prolonged,A small number of vaginal bleeding or purulent secretions.If not treated in time, it will further cause gynecological problems such as acute pelvic inflammatory disease or pelvic cyst.
In fact, it is hard for ordinary people to imagine the situation of double uterus. If the double uterus is diagnosed, the patient himself will be surprised and afraid. Does the double uterus have an impact on life?
Double uterus and double vagina patientsIf there is no discomfortThere are no problems such as menstrual blood retention,It has little effect on sexual life.However, if one vagina develops normally and the other vagina fails to develop, it may cause pain or bleeding if a man enters the undeveloped vagina in the same room.
Secondly, is pregnancy risky? Compared with normal women,It is difficult for women with double uterus to get pregnant, and the risk of danger during pregnancy will be higher than that of normal women., such as spontaneous abortion in early pregnancy; In the second trimester of pregnancy, the uterus is unable to resist the rising intrauterine pressure, and it is also easy to have miscarriage or premature delivery; In late pregnancy, due to the narrow uterine cavity and limited fetal activity, there is a high possibility of abnormal fetal position, which may cause placental abruption, premature rupture of membranes, postpartum hemorrhage and other problems.
Finally, will twins be born in double uterus?The probability of pregnant twins in patients with double uterus is the same as that in normal women.The twin uterus is caused by the failure to fuse the accessory mesonephros in time when the embryo divides, and the twins are fertilized by two eggs or the fertilized eggs split into two fertilized eggs. There is no direct relationship between them.
Generally, there is no discomfort in the body, and few women will take the initiative to do gynecological examinations. Once the problems like double uterus and double vagina are detected, they will be nervous and worried. If you check the double uterus, what treatment methods are there?
- surgical treatment
Surgery is the most common method to treat double uterus, which reconnects the divided uterus through surgery, thus helping the uterus to return to its normal shape. Surgery needs to be decided according to the patient’s condition. Generally, general anesthesia is needed, and postoperative wound care and rehabilitation and recovery training should be paid attention to.
Medication can also be considered for double uterus, such as using hormone drugs to regulate menstrual cycle, so as to alleviate the problems of dysmenorrhea and irregular menstruation in double uterus.
Physical therapy can be carried out with the help of professional doctors, including acupuncture and massage, with the aim of helping to relieve dysmenorrhea and improve menstrual discomfort.
- Psychological support
Double uterus is not a rare disease, but the process of treating double uterus is long, and patients will feel great pressure. Therefore, medical care should give patients support, help and answer doubts in the treatment of God, and pay attention to patients’ emotional changes.
Oblique vaginal septum syndrome sounds terrible, but it has little effect on getting married and having children. Women should pay more attention to their health at ordinary times, and it is best to have gynecological examinations regularly to achieve early detection and treatment of diseases.
 "Congenital kidney deficiency! Abdominal pain is unbearable! Let’s take a look at how to diagnose and treat vaginal oblique septum syndrome. . Gynecology and Obstetrics. 2023-03-09
 "Does a woman’s double vagina affect normal pregnancy and childbirth? Family doctor online, June 18, 2014
 "The 24-year-old girl found two vaginas and double uterus? Doctors speak frankly: it’s rare to be in business for many years. Dr. Zou Lisha. 2023-04-12.
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