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.
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