Didelphys uterus is a rare congenital abnormality characterized by the presence of two separate uterine cavities, each with its own cervix. This condition occurs during embryonic development when the Müllerian ducts, which normally fuse to form the uterus, fail to unite completely. Instead, they develop into two separate structures, resulting in a double uterus.
The prevalence of Didelphys uterus is estimated to be around 1 in 3,000 to 1 in 25,000 women. However, it is important to note that the actual prevalence may be higher as many cases go undiagnosed due to the absence of symptoms or mild symptoms that are often mistaken for other conditions.
Women with Didelphys uterus may experience various reproductive health challenges, including a higher risk of miscarriage, preterm birth, and malpresentation of the fetus. Additionally, this condition can also lead to difficulties in conceiving naturally and an increased risk of gynecological issues such as endometriosis and uterine fibroids.
Diagnosis of Didelphys uterus is typically made through imaging techniques such as ultrasound or magnetic resonance imaging (MRI). Treatment options depend on the individual's symptoms and reproductive goals, ranging from observation and management of associated conditions to surgical interventions like uterine septum resection or removal of one uterus.
Overall, Didelphys uterus is a rare anatomical variation of the uterus that can have significant implications for reproductive health. Early diagnosis and appropriate management can help individuals with this condition navigate their reproductive journey and achieve their desired outcomes.