A double uterus may be diagnosed during a routine pelvic exam when your doctor observes a double cervix or feels an abnormally shaped uterus. To confirm the diagnosis, your doctor may recommend one or more of the following tests:
- Ultrasound. This test uses high-frequency sound waves to create images of the inside of your body. To capture the images, a device called a transducer is either pressed against your abdominal skin or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view. A 3-D ultrasound may be used where available.
- Sonohysterogram. The sonohysterogram (son-o-HIS-ter-o-gram), an ultrasound scan, is done after fluid is injected through a tube into your uterus by way of your vagina and cervix. This allows your doctor to look for problems in the shape of your uterus.
- Magnetic resonance imaging (MRI). The MRI machine looks like a tunnel that has both ends open. You lie down on a movable table that slides into the opening of the tunnel. This painless procedure uses a magnetic field and radio waves to create cross-sectional images of the inside of your body.
- Hysterosalpingography. During a hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fe), a special dye is injected into your uterus through your cervix. As the dye moves through your reproductive organs, X-rays are taken to determine the shape and size of your uterus and whether your fallopian tubes are open.
If you have a double uterus but you don't have signs or symptoms, treatment is rarely needed. Surgery to unite a double uterus is rarely done — although surgery may help you keep a pregnancy if you have a partial division within your uterus and no other medical explanation for a previous pregnancy loss.
If you have a double vagina in addition to a double uterus, you might be a candidate for an operation that would remove the wall of tissue separating the two vaginas. This can make childbirth a little easier.
Preparing for your appointment
You're likely to start by seeing your primary care provider. You might be referred to a doctor who specializes in conditions affecting the female reproductive tract (gynecologist) or a doctor who specializes in reproductive hormones and optimizing fertility (reproductive endocrinologist).
What you can do
To prepare for your appointment:
- Ask if there's anything you need to do in advance to prepare for any possible tests.
- Make a list of any menstrual symptoms you've had and for how long.
- Make a list of your key medical information, including any other conditions for which you're being treated and the names of any medications, vitamins, herbs or supplements you're taking.
- Take a family member or friend along, if possible, to help you remember everything.
- Make a list of questions to ask your doctor to help you make the most of your visit.
Some basic questions to ask your doctor include:
- What is the most likely cause of my signs and symptoms?
- Are there any other possible causes?
- What treatment approach do you recommend, if any?
- Am I a candidate for surgical treatment? Why or why not?
- Am I at increased risk of problems during pregnancy?
- What options are available to improve my chances of a successful pregnancy, if necessary?
- Should I see a specialist?
- Are there any brochures or other printed materials that I can have? What websites do you recommend?
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:
- What are your signs and symptoms, and when did you first notice them?
- Are your signs and symptoms continuous, or do they come and go?
- Do you menstruate regularly?
- What is a typical menstrual period like for you?
- Have you ever been pregnant?
- If you have been pregnant, what was the outcome?
- Do you hope to have biological children in the future?
- Are you currently being treated or have you recently been treated for any other medical conditions?
July 21, 2021
- Lobo RA, et al. Congenital abnormalities of the female reproductive tract. In: Comprehensive Gynecology. 7th ed. Philadelphia, Pa.: Elsevier; 2017. https://www.clinicalkey.com. Accessed April 11, 2019.
- Laufer MR, et al. Congenital uterine anomalies: Clinical manifestations and diagnosis. https://www.uptodate.com/contents/search. Accessed April 11, 2019.
- Hoffman BL, et al. Anatomic disorders. In: Williams Gynecology. 3rd ed. New York, N.Y.: McGraw-Hill Education; 2016. https://accessmedicine.mhmedical.com. Accessed April 11, 2019.
- Kliegman RM, et al. Vulvovaginal and Mullerian anomalies . In: Nelson Textbook of Pediatrics. 20th ed. Philadelphia, Pa.: Elsevier; 2016. https://www.clinicalkey.com. Accessed April 11, 2019.
- Laufer MR, et al. Congenital uterine anomalies: Surgical repair. https://www.uptodate.com/contents/search. Accessed April 11, 2019.
- Laufer MR. Congenital anomalies of the hymen and vagina. https://www.uptodate.com/contents/search. Accessed April 11, 2019.
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