uterus didelphys
Teri O.
My friend's teenage daughter has been diagnosed with a double cervix -- I
think she may have double everything -- from her symptoms, but awaits more
testing. Do you have any info on this? What should testing be? what should
it look for? Any info would be great. Thanks.
dav...@prodigy.net
In article <SMO$980508...@sintercom.org>,
Dear Teri O.
I'm a nurse midwife who has recently seen a young pregnant woman in my
practice with this condition.
Usually this condition can be diagnosed with ultrasound of the uterus using a
trans-vaginal or trans-perineal probe. This means the ultrasonographer
employs an instrument which is inserted in the vagina or placed against the
perineum.
Sometimes there is a septum in the vagina which in effect creates two
vaginas. This could create a problem if they try to use a vaginal probe for
ultrasound.
The young woman I examined, was diagnosed after she became pregnant, so the
uterus was much bigger and easier to see with traditional ultrasound
equipment. However, It was quite clear to myself and the physicians I work
with that this women had uterine didelphis strictly on the basis of physical
exam alone. My question to her care provider would be, What tests do you want
to perform and how will these tests help my daughter? If there is nothing to
be gained, What I mean to say is, if there is no treatment which will
aleviate her symptoms, then why do the tests? If physical exam alone is
enough to indicate that this is the problem. Wait until she is older, and can
decide for herself how far she wants to take the testing. It may effect her
fertility or pose sexual problems, probably those are the issues which need
to be addressed at present.
Just as an added point of interest, the literal interpretation of the latin
word didelphis is, "Two Temples". I hope this has been helpful, practical
information.
Louann Alexovich CNM
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