Uterus Didelphys can be named among the congenital abnormalities that are quite few in number. Most of these conditions are identified for the first time when there are complications with menstruation, labor, or conception. In these circumstances, a woman suffering from Uterus Didelphys can be healthy with little to no symptoms while in other instances, miscarriages, preterm labor, and conception can become an issue.
It is also known as Double Uterus. This is a congenital anomaly wherein the female would have two distinct spaces in her uterus. In addition to that, she would also have two distinct cervixes. A longitudinal septum may also be present in her vagina. This is also known as Double Vagina.
Key Characteristics:
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Two fully developed uteri
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Two cervices
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Sometimes two vaginas
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Normal ovaries and fallopian tubes
Important: Uterus didelphys is present from birth and is not caused by lifestyle, diet, or hormonal imbalance.
Causes of Uterus Didelphys
Uterus didelphys occurs due to abnormal development of the Müllerian ducts during fetal growth.
How It Happens:
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During early pregnancy, two Müllerian ducts should fuse to form one uterus
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In uterus didelphys, fusion fails completely
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This results in two separate uteri instead of one
Is It Genetic?
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Most cases are sporadic
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Rarely associated with genetic or chromosomal conditions
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Can coexist with renal (kidney) abnormalities
How Common Is double uterus
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Affects approximately 1 in 2,000–3,000 women
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Accounts for ~5% of all Müllerian anomalies
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Often undiagnosed until reproductive years
Symptoms of double uterus
Many women experience no symptoms, while others may notice issues related to menstruation or reproduction.
Common Symptoms:
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Painful periods (dysmenorrhea)
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Irregular menstrual flow
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Difficulty inserting tampons
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Pain during intercourse
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Recurrent pregnancy loss
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Preterm delivery
When to Suspect It:
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History of multiple miscarriages
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Preterm births without clear cause
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Abnormal pelvic exam findings
Diagnosis of Uterus Didelphys
Accurate diagnosis requires advanced imaging and expert evaluation.
Diagnostic Tests Include:
1. Pelvic Ultrasound
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First-line screening
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May suggest uterine duplication
2. 3D Ultrasound
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Gold standard for uterine anomalies
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High accuracy and non-invasive
3. MRI (Magnetic Resonance Imaging)
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Confirms anatomy in complex cases
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Evaluates associated kidney anomalies
4. Hysteroscopy / Laparoscopy
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Used selectively
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Allows direct visualization
At advanced fertility centers like Vrinda Fertility, diagnosis is performed using high-resolution imaging and multidisciplinary expertise to ensure accuracy.
double uterus and Pregnancy
Can You Get Pregnant with Uterus Didelphys?
Yes. Most women with uterus didelphys can conceive naturally.
However, pregnancy is considered high-risk and requires close medical supervision.
Pregnancy Challenges Associated with Uterus Didelphys
1. Increased Risk of Miscarriage
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Reduced uterine space
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Abnormal uterine contractions
2. Preterm Labor
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One of the most common complications
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Due to limited uterine capacity
3. Breech Presentation
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Baby may not turn head-down
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Higher chance of cesarean delivery
4. Cervical Incompetence
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Cervix may shorten prematurely
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Cervical cerclage may be required
Clinical Insight: With early diagnosis and expert monitoring, many women successfully deliver healthy babies.
Is Surgery Required ?
Unlike other uterine anomalies, surgery is rarely recommended for uterus didelphys.
Surgery Is Considered Only If:
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Severe recurrent miscarriages
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Obstructed vaginal septum
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Persistent pelvic pain
Most women are managed through personalized pregnancy care, not surgery.
Uterus Didelphys and Fertility Treatment
Does It Cause Infertility?
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Not directly
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Fertility rates are often normal
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Pregnancy complications are more common than conception issues
Assisted Reproductive Options:
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Ovulation induction
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IUI (Intrauterine Insemination)
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IVF (In Vitro Fertilization) in selected cases
At leading fertility centers in India, such as Vrinda Fertility, treatment plans are customized based on:
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Uterine anatomy
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Pregnancy history
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Overall reproductive health
Living with Uterus Didelphys
With the right medical guidance :
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Conceive naturally
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Carry pregnancies successfully
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Deliver healthy babies
Early diagnosis, regular monitoring, and expert obstetric care are the keys to success.
FAQs:
Q1. Is double uterus dangerous?
No, it is not life-threatening. However, it increases pregnancy-related risks and requires specialized care.
Q2. Can uterus didelphys be cured?
There is no “cure,” but most women do not need treatment unless complications arise.
Q3. Can women with uterus didelphys have normal delivery?
Yes, vaginal delivery is possible, but many require C-section due to breech position or preterm labor.
Q4. Does uterus didelphys affect periods?
Some women experience painful or irregular periods, while others have normal cycles.
Q5. Is double uterus detected before pregnancy?
Often detected during fertility evaluation, pelvic imaging, or pregnancy scans.
Conclusion:
double Uterus may sound overwhelming, but with modern diagnostic tools and advanced fertility care, it is no longer a barrier to motherhood. Most women with this condition lead healthy reproductive lives with the right support.
Because every uterus is unique—and so is every fertility journey.
If you are experiencing recurrent pregnancy loss, unexplained preterm birth, or fertility concerns, Available personalized consultation at a reliable fertility clinic and thus initiate your journey to parenthood. Dr. Anushka Madan at vrinda fertility is one of the most reliable IVF specialists to go to if you are embarking on a journey of parenthood and want to identify a reliable infertility centre in your locality. Get Direction
