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A Double Uterus is a rare congenital abnormality that occurs when a female child is in her mother’s womb. Under normal circumstances, a uterus starts to grow as two tiny tubes known as Mullerian ducts. Later the Mullerian ducts join to form the uterus. But in some rare cases, the Mullerian ducts do not join and form two separate uteri. In some cases, there is one cervix or opening for both uteri, whereas each uterus will have its cervix or opening. You may ask the question of whether it is possible for women with a double uterus to conceive? Yes, it is possible for women with a Double Uterus to conceive, but the chances of a miscarriage or premature birth are more. A Double Uterus is also known as a didelphic uterus.

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What are the causes of Double Uterus?

A Double Uterus is a genetic abnormality where the Mullerian ducts do not join to form a uterus but result in an individual uterus formation. Doctors are yet to find out the exact cause of a double uterus. But it has been assumed that it can be hereditary. That is, if someone in your family had a case of the double uterus in the past, you or other women in the family could get a Double Uterus.

What are the symptoms of Double Uterus?

In most cases, a woman with a double uterus will have no symptoms, and the condition will be diagnosed only during a routine pelvic examination. But in certain cases, women with a Double Uterus might experience certain symptoms which are as follows:

  • ● You may experience pain or pressure in the lower abdominal area during or before a menstrual period.
  • ● You may bleed during menstruation despite using a tampon. This is because you may have inserted the tampon in one uterus, but the other might be bleeding.
  • ● Repeated miscarriages or a premature birth can also be symptoms of a Double Uterus.
  • ● Excessive bleeding during menstruation.
  • ● Pain while having intercourse.

How is Double Uterus diagnosed?

Your Double Uterus may be diagnosed during a routine pelvic examination. Your doctor might observe some abnormality in your cervix or uterus. Your doctor will advise the following tests if they suspect any abnormalities:

  • Ultrasonography: In ultrasonography, high-frequency waves are used to create images of any internal organs of your body. To see the images, a transducer is either inserted in your vagina or pressed against the skin to get images of the internal organs. Your doctor might also suggest a 3D ultrasonography to get a better view.
  • Sonohysterogram:This is an advanced version of ultrasound. Your doctor will first insert fluid into your vagina through a thin tube to get a clearer view. This makes the ultrasound images clearer for the doctor to view.
  • Hysterosalpingography (HSG):Your doctor conducts this test to get x-ray images of your reproductive system. During this test, a special dye is inserted into your uterus. When the dye travels through your reproductive organs, your doctor will receive x-ray images, which will help to determine whether you have a Double Uterus.
  • Magnetic Resonance Imaging (MRI):MRI is a painless examination. You need to lie on the MRI table, and images of the inside of your body will be taken using a magnetic field and radio waves.

How is Diaphragmatic Hernia treated?

Both congenital Diaphragmatic Hernia and acquired diaphragmatic hernia require urgent surgery. Your doctor will perform a surgery to place the abdominal organs back to their place which has moved to the chest area. After removing the abdominal organs, your doctor will repair the hole in the diaphragm.

In the case of a congenital Diaphragmatic Hernia, the doctor will perform surgery within 48 to 72 hours of childbirth. But before the surgery, it is necessary to stabilize the child to increase the oxygen levels. The doctors use various kinds of medicines and techniques to stabilise the baby and increase his oxygen levels to help him breathe. Babies suffering from congenital Diaphragmatic Hernia are kept in a Neonatal Intensive Care Unit (NICU) where they get highly specialised treatment. When the baby is stable, the doctors decide upon a surgery.

In the case of patients with an acquired Diaphragmatic Hernia, the patient is first made stable with oxygen and medicines. The patients of acquired diaphragmatic hernia are mostly the ones who have suffered an injury. Therefore, they may be suffering from other complications like internal bleeding. In such cases, the doctor will conduct surgery as soon as possible.

What are the Risks Associated with Double Uterus treatments?

If you have a Double Uterus, there are chances that you may suffer from other risk factors such as:

  • Kidney abnormalities
  • Infertility
  • Imperforate anus: This is an extremely rare phenomenon where the rectum and the anus are abnormally formed.
  • Endometriosis: Endometriosis can lead to painful periods. It is a condition when the tissues that should grow inside the uterus grow outside. The condition leads to excessive bleeding and pain

How Double Uterus affect pregnancy?

A Double Uterus can affect pregnancy in more than one way. The double uterus can lead to a change in your uterus’s shape, which can lead to frequent miscarriages. Women who have a double uterus have comparatively small uteri. This condition leads to premature delivery. If you have a Double Uterus, you need to be extra careful when pregnant to avoid all negative consequences. Regular check-ups and visits to the doctor become essential, especially if your doctor suspects an abnormality with the foetus. Your doctor might also suggest a C section delivery if you have a Double Uterus.

How is Double Uterus Treated?

Being born with a Double Uterus is an extremely rare condition. In most cases, if you do not have any signs or symptoms, you do not require any treatment. But if you have a double vagina and a Double Uteru, surgery may be required to remove the tissues that separate the two vaginas. Surgery may help stop miscarriages or premature birth if your uterus has only a partial division and suffer from no other medical problems. The Double Uterus is not a grave problem. With timely diagnosis and treatment, it can be appropriately managed.

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How Common Is it to have a Double Uterus?

It is a rare phenomenon. One in two thousand women worldwide have a Double Uterus.

Where Do the Double Uteruses Sit in the Body?

A Double Uterus grows in the same place as a normal single uterus. It is positioned behind the bladder in the pelvis. The problem is when you have a double uterus, the size of each uterus is smaller, leading to problems of premature delivery in pregnant women.

How Likely is a Woman with a Double Uterus to have Twins with one Foetus in Each Uterus?

It is estimated that one woman in twenty-five thousand women with a Double Uterus have twins.

Can Women with Double Uterus Give Birth to Triplets?

Yes, in 2006, a woman in the UK gave birth to triplets. She had Identical Twins from one uterus and a single child from the other uterus. This was the first reported case of triplets being born from a woman with a Double Uterus.


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