Mullerian duct anomalies: presentation and reproductive outcome

The aim of this study was to analyze various presentations of mullerian duct anomalies and to determine its impact on reproductive outcome. Gynae Unit 1, Allied Hospital, PMC Faisalabad. From 01-06-2007 to 31-12-2008. Case Series. A total of 40 patients were included in study. Their detailed history and examination was done. Relevant investigations TVS, IVU and MRI were done to diagnose mullerian duct malformations. 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. Obstructive anomalies of genital tract are commonest among mullerian duct malformations and are mostly diagnosed at puberty. Other uterine malformations may remain asymptomatic and may have both normal and adverse pregnancy outcome