Müllerian duct anomalies: review of current management.
The aim of this paper was to discuss the embryological aspects of Müllerian duct anomalies and to analyze the current diagnostic methods and therapy. Müllerian anomalies are congenital defects of the female reproductive tract resulting from failure in the development of the Müllerian ducts and their associated structures. Their cause has yet to be fully clarified, and it is currently believed to be multifactorial. Symptoms appear principally during adolescence or early adulthood, and affect the reproductive capacity of these women. When clinically suspected, investigations leading to diagnosis include imaging methods such as hysterosalpingography, ultrasonography and magnetic resonance. The classification of these malformations relates to their embryogenesis, and defines the therapy and prognosis. Müllerian anomalies consist of a wide range of defects that may vary from patient to patient. Therefore, their management must also be individual, taking anatomical and clinical characteristics into consideration, as well as the patient's wishes.
Ribeiro
Sérgio Conti
SC
Department of Gynecology and Obstetrics, Faculdade de Medicina, Universidade de São Paulo, São Paulo, Brazil. sergiocontiribeiro@terra.com.br
Tormena
Renata Assef
RA
Peterson
Thais Villela
TV
Gonzáles
Marina de Oliveira
Mde O
Serrano
Priscila Gonçalves
PG
Almeida
José Alcione Macedo de
JA
Baracat
Edmund Chada
EC
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007247:Infertility, Female; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000196:embryology; D014564:Urogenital Abnormalities / Q000145:classification / Q000175:diagnosis / Q000628:therapy*; D055815:Young Adult