Congenital absence of uterus

The paramedian renal ducts on both sides extend to the midline and meet. If the development stops before reaching the midline, no uterus is formed. Congenital absence of the uterus is often associated with congenital absence of the vagina, but may have normal fallopian tubes and ovaries. During anal diagnosis, it is equivalent to the cervix and uterine body, but can only touch the peritoneal folds without touching the uterus. Some patients with uterine malformations may not have any conscious symptoms, menstruation, sexual life, pregnancy, childbirth, etc., have no abnormal manifestations, so that they are not detected for life, or occasionally during physical examination. However, some patients' reproductive system functions are affected to varying degrees. When they reach sexual maturity, they are found only after symptoms occur during marriage, or during pregnancy and childbirth. Uterine abnormalities do not need to be treated if they do not cause clinical symptoms. If factor dysplasia causes amenorrhea, dysmenorrhea, infertility or habitual abortion, endocrine therapy can be tried. For detailed treatment methods, please refer to the relevant sections. Those who cannot relieve the patient's pain after drug treatment can consider surgery. For dysmenorrhea, surgical removal of the deformed uterus may also be considered. If the factor uterine malformation causes miscarriage and premature delivery, corresponding surgery can be taken according to the different malformations.