Reproductive performance of women with müllerian anomalies

Beth W Rackow, Aydin Arici, Aydın Arıcı
Current opinion in obstetrics & gynecology · 2007 · vol. 19(3) , pp. 229–237 · doi:10.1097/gco.0b013e32814b0649 · PMID:17495638 · W2035563364
review OA: closed CC0 ⤵ 17 in-corpus citations
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⚙ AI-generated summary by claude@2026-06, 2026-06-06 ⓘ

This review examines diagnostic techniques and reproductive outcomes for women with Müllerian anomalies, finding they are linked to both normal and adverse reproductive results, with management remaining controversial.

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Abstract

PURPOSE OF REVIEW: This review discusses current diagnostic techniques for müllerian anomalies, reproductive outcome data, and management options in reproductive-age women. RECENT FINDINGS: Multiple retrospective studies have investigated reproductive outcomes with müllerian anomalies, but few current prospective studies exist. Uterine anomalies are associated with normal and adverse reproductive outcomes such as recurrent pregnancy loss and preterm delivery, but not infertility. Furthermore, unicornuate, didelphic, bicornuate, septate, arcuate, and diethylstilbestrol-exposed uteri have their own reproductive implications and associated abnormalities. Common presentations of müllerian anomalies and current diagnostic techniques are reviewed. Surgical intervention for müllerian anomalies is indicated in women with pelvic pain, endometriosis, obstructive anomalies, recurrent pregnancy loss, and preterm delivery. Although surgery for most uterine anomalies is a major intervention, the uterine septum is preferentially managed with a hysteroscopic procedure. Several recent studies and review articles discuss management of the septate uterus in asymptomatic women, infertile women, and women with a history of poor reproductive outcomes. Current assessment of reproductive outcomes with uterine anomalies and management techniques is warranted. SUMMARY: Müllerian anomalies, especially uterine anomalies, are associated with both normal and adverse reproductive outcomes, and management in infertile women remains controversial.

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Condition tags

endometriosisinfertility

MeSH descriptors

Mullerian Ducts Reproduction Reproduction Carcinogens Diethylstilbestrol Diethylstilbestrol Female Humans Hysterosalpingography Mullerian Ducts Mullerian Ducts Pregnancy Pregnancy Outcome Uterus Uterus Uterus Vagina Vagina

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References (97)

Cited by (17)

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License: CC0 · commercial use OK