CONGENITAL ANOMALIES OF THE FEMALE GENITAL ORGANS
At the end of this chapter the students will be able to:
· Mention the effect of female congenital anomalies on pregnancy
· List different type of uterine abnormality.
The female genital tract is formed in early embryonic life when pair of ducts develop. These paramesonephric or mullerian ducts come together in the midline and fuse in to a Y-shaped canal. The open upper ends of this structure open in to the peritoneal cavity and the fused portions become the uterine tubes. The fused lower portion forms the uterovaginal area which further develops in to the uterus and the vagina.
Anomalies arise primarily from the alteration of the fusion process. Failure of the ducts to fuse normally results in two partially or completely separated tracts. Failure of one duct to mature results in a one-sided tract. Incomplete fusion of one or both ducts causes faulty canalization and formation of a transverse vaginal septum, or more very, absence of thevagina. The cause of these disruptions in embryonic development is usually not known; however, some patterns of vaginal and cervical abnormalities have been identified in daughters born to women who received diethylstilbestrol (DES) during pregnancy.