A CASE OF A VERY DIFFICULT UNSUSPECTED PREGNANCY
8% of women may that have uterine didelphys have painful sex (dysparenia) due to a vaginal septum.
The chances of a good outcome to this pregnancy are dismal. Only 20% or 1/5 patients can have a complete pregnancy. A third of pregnancies end in abortion and over half in premature deliveries. Only 40% of pregnancies have living children.
After the pregnancy a HSG further screening was performed.
There were two separate endocervical canals that open into separate endometrial cavities, with no communication between the two horns of the uterus.
Each of the separate endometrial cavities ended with a solitary fallopian tube.
We screened her for endometriosis, a common complication associated with uterine didelphys.