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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is A Uterus Didelphus Possible With Single Cervix?

I had an HSG done in april this year and the radiologist said I have a bicornuate uterus and the report even said so but when I went to the gynae he said I have a uterus didelphus and I should have an operation to join the 2 wombs to make them 1 then I went 2 another gyne who did a lap/hyst n he also said its a uterus didelphus but both wombs are big enough to carry 2 babies on each but someone told me its not possible to have a uterus didelphus with 1 cervix is it true?
Tue, 7 Apr 2015
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OBGYN, Maternal and Fetal Medicine,  's  Response
Hi dear and thanks for your query.

A uterus didelphys is a type of Müllerian duct anomaly where there is complete duplication of uterine horns as well as duplication of the cervix, with no communication between them.
Uterus didelphys should be differentiated from a bicornuate uterus (separation of horns only) .

HSG demonstrates two separate endocervical canals that open into separate fusiform endometrial cavities, with no communication between the two horns.
Each endometrial cavity ends in a solitary fallopian tube.

If your HSG show that you have bicornuate uterus you can profit with surgery,but while another doctor have concluded that you have didelphys uterus (impossible with one cervix because two separate cervices need to be documented.) better have a MRI that demonstrates two separate uteri with widely divergent apices and two separate cervices.

By doing MRI your follow up doctor can determine exactly type of your uterus and than surgery or not ,because if you will have didelphys uterus you don't need for surgery.

Hence contact with your follow up doctor .

All the best
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Is A Uterus Didelphus Possible With Single Cervix?

Hi dear and thanks for your query. A uterus didelphys is a type of Müllerian duct anomaly where there is complete duplication of uterine horns as well as duplication of the cervix, with no communication between them. Uterus didelphys should be differentiated from a bicornuate uterus (separation of horns only) . HSG demonstrates two separate endocervical canals that open into separate fusiform endometrial cavities, with no communication between the two horns. Each endometrial cavity ends in a solitary fallopian tube. If your HSG show that you have bicornuate uterus you can profit with surgery,but while another doctor have concluded that you have didelphys uterus (impossible with one cervix because two separate cervices need to be documented.) better have a MRI that demonstrates two separate uteri with widely divergent apices and two separate cervices. By doing MRI your follow up doctor can determine exactly type of your uterus and than surgery or not ,because if you will have didelphys uterus you don t need for surgery. Hence contact with your follow up doctor . All the best