Mullerian Anomalies

Question 0

What are the Müllerian anomalies based on?

Answer 0

Based on prognosis for future fertility and surgical correction

Question 1

How many classes of Müllerian anomalies are there?

Answer 1

6 different classes

Question 2

What is class I?

Answer 2

Incomplete vaginal canalization

Question 3

What is class II?

Answer 3

Unicornuate uterus

Question 4

What is class III?

Answer 4

Uterus didelphys

Question 5

What is class IV?

Answer 5

Bicornuate uterus

Question 6

What is class V?

Answer 6

Septate uterus

Question 7

What is class VI?

Answer 7

Diethylstibestrol (DES) exposure - T shaped uterus

Question 8

CLASS I - INCOMPLETE VAGINAL CANALIZATION

What is another name for this class?

Answer 8

Segmental Müllerian agenesis

Question 9

CLASS I - INCOMPLETE VAGINAL CANALIZATION

What 2 things can happen during this class?

Answer 9

Transverse vaginal septum or vaginal atresia

Question 10

CLASS I - INCOMPLETE VAGINAL CANALIZATION

How will you know if a girl has a class one Müllerian anomaly?

Answer 10

She reaches puberty without menstruation

Question 11

CLASS I - INCOMPLETE VAGINAL CANALIZATION

What is vaginal atresia?

Answer 11

Vagina is not fully formed

Question 12

CLASS I - INCOMPLETE VAGINAL CANALIZATION

With vaginal atresia, what is hydrocolpus?

Answer 12

A fluid filled vagina

Question 13

CLASS I - INCOMPLETE VAGINAL CANALIZATION

With vaginal atresia, what is hydrometrocolpus?

Answer 13

Fluid filled vagina and uterus

Question 14

CLASS I - INCOMPLETE VAGINAL CANALIZATION

With vaginal atresia, what is hematometrocolpus?

Answer 14

Blood filled vagina and uterus

Question 15

CLASS I - INCOMPLETE VAGINAL CANALIZATION

With vaginal atresia, what might be absent?

Answer 15

The cervix

Question 16

CLASS I - INCOMPLETE VAGINAL CANALIZATION

With vaginal atresia, what can be seen during the neonatal period or diagnosed at puberty?

Answer 16

A large cystic pelvic mass

Question 17

CLASS I - INCOMPLETE VAGINAL CANALIZATION

With vaginal atresia, the what will be imperforate?

Answer 17

The hymen

Question 18

CLASS II - UNICORNUATE UTERUS

_________ _________ __________ of the Müllerian ducts.

Answer 18

Complete unilateral arrest

Question 19

CLASS II - UNICORNUATE UTERUS

May have a small _______ _______ if partial arrest.

Answer 19

Rudimentary horn

Question 20

CLASS II - UNICORNUATE UTERUS

What does the uterus look like?

Answer 20

Long, slender, cigar shaped
Deviated to one side
Small & lateral

Question 21

CLASS II - UNICORNUATE UTERUS

What is frequently associated with this class?

Answer 21

Renal agenesis on the contralateral side

Question 22

CLASS II - UNICORNUATE UTERUS

What can this class cause?

Answer 22

Infertility and pregnancy loss

Question 23

CLASS III - UTERUS DIDELPHYS

_______ ________ of the Müllerian ducts

Answer 23

Complete nonfusion

Question 24

CLASS III - UTERUS DIDELPHYS

Complete duplication of the _______, _______, & _______.

Answer 24

Uterus, cervix, and vagina

Question 25

CLASS III - UTERUS DIDELPHYS

What problems are associated with this class?

Answer 25

No infertility problems

No treatment

Question 26

CLASS III - UTERUS DIDELPHYS

How many endometrial echo complexes?

Answer 26

2

Question 27

CLASS IV - BICORNUATE UTERUS

_______ _______ of the Müllerian ducts

Answer 27

Partial nonfusion

Question 28

CLASS IV - BICORNUATE UTERUS

Duplication of the _______, common ________.

Answer 28

Uterus, cervix

Question 29

CLASS IV - BICORNUATE UTERUS

Any problems associated with this class?

Answer 29

Low incident of fertility complications because of a wide cavity space

Not treated

Question 30

CLASS IV - BICORNUATE UTERUS

At 12-16 weeks gestation…

Answer 30

Rudimentary cavity

Rupture of uterine cavity

Question 31

CLASS IV - BICORNUATE UTERUS

2 of what can be visualized?

Answer 31

Endometrial cavities

Question 32

CLASS V - SEPTATE UTERUS

What does this class look like?

Answer 32

2 uterine cavities closely spaces
1 fundus
Possibly 2 cervical canals or vaginal septums

Question 33

CLASS V - SEPTATE UTERUS

Problems associated with this class?

Answer 33

HIGHEST incidence of infertility problems - can get pregnant but will have problems carrying the pregnancy

Question 34

CLASS V - SEPTATE UTERUS

IMPORTANT FACT TO REMEMBER…

Answer 34

Most common uterine anomaly!!!

Question 35

CLASS VI - DIETHYLSTILBESTROL (DES) EXPOSURE

Describe this class…

Answer 35

Given to women who miscarried often, fetus exposed in utero

A synthetic drug from 1970’s

Question 36

CLASS VI - DIETHYLSTILBESTROL (DES) EXPOSURE

Who did this drug affect?

Answer 36

The daughters of the mothers who took the drug

Question 37

CLASS VI - DIETHYLSTILBESTROL (DES) EXPOSURE

What does the uterus look like?

Answer 37

Abnormal shape and size
Uterine cavity is “T” shaped
Irregular contour