Jul 28, 2008

The uterus "troubles"

Some of the uterus can no abnormal symptoms, menstruation, sexuality, pregnancy, childbirth, and so has no abnormal performance, and life will not be found, or even when the physical examination was found. However, some part of the reproductive system function in patients with varying degrees by the impact of sexual maturity, marriage, or during pregnancy, labor, the symptoms were not found.

Overview

Congenital anomalies of the uterus is the most common abnormal genital mutilation a form of clinical significance also relatively large.

Cause

On both sides of the kidney in the process of evolution, subject to certain factors influence and interference in the evolution of the different stages of development formed to stop all kinds of abnormal development of the uterus.

Symptoms

Some of the uterus can no abnormal symptoms, menstruation, sexuality, pregnancy, childbirth, and so has no abnormal performance, and life will not be found, or even when the physical examination was found. However, some part of the reproductive system function in patients with varying degrees by the impact of sexual maturity, marriage, or during pregnancy, labor, the symptoms were not found.

(A) menstrual abnormalities: congenital absence of the uterus or uterine Shiji with amenorrhea. Naive patients with type uterus can be no menstruation, may have on a small, delayed, dysmenorrhea, menstrual irregularities, such as performance of double uterus, often in patients with double uterus angle there may be periods of excessive menstrual and duration of the extension.

(B) of infertility: the uterus, Shiji uterus, uterine and other childish type of uterine dysplasia, often one of the main reasons for infertility.

(C) pathological pregnancy: abnormal development in the uterus after pregnancy often cause abortion, premature or abnormal Abnormal Fetal Position. Even during pregnancy can occur spontaneously uterine rupture. Kok residues such as uterine tubal patency, Yunluan can implantation in the uterus residual slot, but because of its myometrium dysplasia, and often rupture in pregnancy, with symptoms of ectopic pregnancy.

(D) of production, post-natal pathology: malformation of the uterus often coexist myometrium stunted. Delivery can yield of abnormal cervical expansion difficulties, to produce a result even uterine rupture. The vaginal delivery may be stranded in the placenta, postpartum hemorrhage or post-natal infection. Double uterus in pregnancy, the pregnancy of uterine growth and development, such as non-uterine pregnancy in the uterus of the rectum Waterloo, childbirth can cause obstruction of dystocia. Double uterus, uterine or dual-angle septate uterus patients, in the post-natal pregnancy may be due to non-side in case of uterine hemorrhage from Decidual.

Check

If patients have primary amenorrhea, dysmenorrhea, infertility, habitual abortion, each pregnancy is not Abnormal Fetal Position or produce such as history, should first think of the possibility of uterine deformities, and further asked in detail about history and carry out gynaecological examinations. When necessary, the use of intrauterine detection probe size, direction, or Hysterosalpingography, with a clear diagnosis. Genital deformities often combined urinary system abnormalities or lower digestive tract abnormalities, if necessary, for IVP or barium enema examination. When found under the urinary tract or digestive tract malformations, the need to check for genital malformation in detail, including the uterus, abnormal.

Treatment

Uterine abnormality, if not caused clinical symptoms, may not have to be addressed. Stunted as a result of the uterus caused amenorrhea, dysmenorrhea, infertility or habitual abortion, endocrine therapy trial, the detailed treatment methods detailed in the relevant sections. Where the drug treatment after suffering patients who can not be lifted, may consider surgery. Such as dysmenorrhea, may consider removal of uterine malformation. Uterine malformation caused as a result of abortion, premature birth, the situation may be different deformities were to take surgery.

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