Double uterus

Diagnosis

A double uterus may be diagnosed during a routine pelvic exam. Your doctor may observe a double cervix or feel an unusually shaped uterus. To confirm the diagnosis of double uterus, you may need certain 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 pressed against the outside of your lower belly. Or you may have the transducer put into your vagina. This is called transvaginal ultrasound. You may need both types of ultrasound to get the best view. A 3D ultrasound may be used, if it's available at your facility.
• Sonohysterogram. The sonohysterogram (son-o-HIS-ter-o-gram) is a special type of ultrasound scan. You have fluid injected through a tube into your uterus. The fluid outlines the shape of your uterus on the ultrasound scan. This allows your doctor to look for anything unusual.
• 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 test 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. These images show the shape and size of your uterus. They also show if your fallopian tubes are open.

Sometimes, ultrasound or MRI is also done to check for kidney problems.

Treatment

Treatment often isn't needed for a double uterus if you have no symptoms or other problems. Surgery to join a double uterus isn't usually done.

But sometimes surgery can help. If the uterus is partially divided, and you've had a pregnancy loss with no other medical explanation for the loss, your doctor might recommend surgery. This may help you keep a future pregnancy.

Surgery also might help if you have a double vagina along with a double uterus. The procedure removes the wall of tissue separating the two vaginas. This can make childbirth a little easier.

Preparing for your appointment

You may start by seeing your primary doctor or other care provider. Or you may be referred to a specialist. This could include seeing a doctor, called a gynecologist, who specializes in conditions that affect the female reproductive system. Or you may see a doctor who specializes in reproductive hormones and helping with fertility. This type of doctor is called a reproductive endocrinologist.

What you can do

When you make the appointment, ask if there's anything you need to do to get ready. You may be given instructions for preparing for certain tests. Next, make a list of:

• Your symptoms, including any that seem unrelated to the reason for your appointment.
• Key personal information, including major stresses, recent life changes and family medical history.
• All medicines, vitamins or other supplements you take, including the doses. The dose is how much you take.
• Questions to ask your doctor.

Bring a family member or friend along, if you're able to. They can help you remember what you talk with your doctor about during your appointment.

For a double uterus, some basic questions to ask your doctor include:

• What's likely causing my symptoms?
• Could there be other possible causes for my symptoms?
• Do I need any tests done?
• Do I need treatment?
• Are there any alternatives to the treatment you're suggesting?
• Are there restrictions I need to follow?
• Should I see a specialist?
• Do you have any brochures or other printed material I can take with me? What websites do you recommend?

Don't hesitate to ask other questions as they occur to you.

What to expect from your doctor

Your doctor may ask you several questions, such as:

• When did your symptoms begin?
• Do your symptoms happen all the time or only every so often?
• How bad are your symptoms?
• Do you have regular periods?
• Have you ever been pregnant?
• Have you ever given birth?
• Does anything seem to make your symptoms better?
• Does anything seem to make your symptoms worse?