Q51.2

Clinical Causes: Congenital development abnormalities during fetal growth Genetic factors influencing uterine formation Disruptions during the fusion of the Müllerian ducts in embryonic development Environmental factors potentially impacting fetal development, although less clearly established

Key Symptoms: Often asymptomatic, especially in minor cases Menstrual irregularities such as heavy or irregular periods Reproductive difficulties including infertility or recurrent miscarriage Possible pelvic discomfort or pain in some cases In some women, the condition may be identified during investigation for pregnancy losses or infertility

Diagnosis Path: The diagnosis of doubling of the uterus often involves a combination of imaging studies such as: - Ultrasound, including 3D ultrasound, to visualize uterine structure - Magnetic Resonance Imaging (MRI), providing detailed images of uterine anatomy - Hysterosalpingography (HSG) or hysterosonography for further evaluation In some cases, an hysteroscopy or laparoscopy might be performed to confirm the diagnosis and assess the uterine morphology directly.

Treatment Protocols: Treatment options depend on the severity of the condition and its impact on reproductive health: - Observation in benign cases that are asymptomatic and not affecting fertility - Surgical interventions, such as hysteroscopic septum resection, to remove septa or correct structural abnormalities - Fertility treatments, including assisted reproductive technologies (ART), if reproductive difficulties are present - Regular monitoring and follow-up for reproductive health management Consultation with a healthcare specialist, like a gynecologist specialized in reproductive health or uterine anomalies, is essential to develop an individualized treatment plan.