MULLERIAN DUCT ANOMALIES: A STUDY ON ANATOMICAL BASIS WITH EMBRYOLOGICAL ASPECTS AND ITS CLINICAL SIGNIFICANCE IN SOUTH INDIAN POPULATION - MADURANTHAGAM REGION
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2015, Vol 4, Issue 26
Abstract
[b] AIMS & OBJECTIVES: [/b]Mullerian duct anomalies (MDAs) are rare, but it can be a treatable form of infertility, affecting approximately 1% to 5% of women in general population and the rate increases in women with poor reproductive outcomes. The purpose of this study is to share our experience in the prevalence of mullerian duct anomalies and its subtypes among women with poor reproductive outcomes in maduranthagam region - South India, and also to discuss the embryological basis of these anomalies with its clinical significance. [b]MATERIALS AND METHODS[/b]: This study is a cross-sectional study based on secondary data that is obtained from medical recordsof our institution from October 2009 to December 2014. A total of 5228 patients had undergone two dimensional ultrasound for various complaints like infertility, recurrent abortions, polymenorrhea etc., out of which, 512 patients had history of recurrent abortions and 1946 patients had history of infertility. Hysterosalpingogram was done on patients who were diagnosed to have congenital uterine anomaly on 2-D USG. [b]RESULTS[/b]: 232 patients were diagnosed to have mullerian duct anomalies. 15.8% (n=81) of patients with history of recurrent abortions had congenital uterine anomaly and 7.5% of patients (n=146) in the infertile population had congenital uterine anomalies.The detailed description of subtypes of mullerian duct anomaly is given in the article. [b]CONCLUSION[/b]:The role of imaging is to help detect, classify and guide surgical management of uterine anomalies. In this present study, the prevalence of congenital uterine anomaly is more in patients with history of recurrent abortion (15.8%), when compared to infertile population (7.5%) in maduranthagam region. This study is based on rural sector population. Although MRI is the modality of choice for diagnosing mullerian duct anomalies, the role of 2-D USG and HSG cannot be neglected in diagnosing the uterine anomalies, especially if non affordable poor sector people are considered. This article further emphasizes on the embryological reasons behind these uterine anomalies.
Authors and Affiliations
Anbumani T. L, Anthony Ammal, Thamarai Selvi, Selvakumari T. L
Keywords
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- EP ID EP117374
- DOI 10.14260/jemds/2015/644
- Views 161
- Downloads 0
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