MULLERIAN DUCT ANOMALIES

PRESENTATION AND REPRODUCTIVE OUTCOME

Abstract

Aim: The aim of this study was to analyze various presentations of mullerian duct anomalies & to determine its impact on reproductive outcome. Setting: Gynae Unit 1, Allied Hospital, PMC Faisalabad. Period: from 01-06-2007 to 31-12-2008. Design: Case Series Methods: A total of 40 patients were included in study. Their detailed history & examination was done. Relevant investigations TVS, IVU & MRI were done to diagnose mullerian duct malformations. Results: 16 patients (40%) presented with obstructive genital tract malformation while 8 patients (20%) presented with absence of uterus and vagina. Among those who presented in pregnancy, malpresentation (15%) was the commonest presentation. Conclusion: Obstructive anomalies of genital tract are commonest among mullerian duct malformations and are mostly diagnosed at puberty. Other uterine malformations may remain asymptomatic & may have both normal and adverse pregnancy outcome.