Saddle-shaped uterus: diagnosis, causes, pregnancy

On the way to long-awaited motherhood, a woman can expect an unpleasant surprise - congenital malformations of the uterus. Depending on the degree of expression, they are able to exert a very different influence on conception, the development of pregnancy and childbirth, down to infertility. The uterine saddle is the least insidious of congenital pathologies.

With this developmental anomaly, the shape of the organ varies to varying degrees, the transverse dimension increases, the flattening of the bottom occurs, both horns are less pronounced. The uterus of the saddle-shaped forms occupies an intermediate position between normal and two-horned.

This pathology can be seen on ultrasound. Since this feature of development does not manifest itself in any way, it is usually found this way - in a planned study.

Also, the saddle uterus can be diagnosed by hysterosalpingography or hysterography. During these studies, a radiopaque substance is injected into its cavity, and then images are taken. If they see a small depression in the bottom of the uterus, then this indicates the presence of pathology.

In addition, hysterosalpingography allows you to check the patency of the fallopian tubes. The pictures should show that the substance is poured into the abdominal cavity. If this is not the case, then there are spikes in the pipes or a small pelvis.

Also, the saddle uterus can be diagnosed by MRI. Experts believe that this technique has the highest accuracy. It allows you to fix at different levels the structure of the organs in the small pelvis.

Doctors believe that this defect of development does not affect the conception. However, bearing can occur with problems. Pregnancy more often than without this pathology, is under threat of interruption. This feature is the cause of premature birth and spontaneous miscarriages. The placenta may be located with pathology, perhaps its presentation, low placenta. This can lead to its detachment.

If a woman has a saddle uterus, then the delivery can also take place with complications. The position of the fetus is wrong, then a caesarean section is performed . Also, with this pathology, the weakness of labor and all sorts of disturbances is possible.

Nevertheless, a huge number of women give birth to healthy babies, having a saddle uterus. The probability of complications depends on the degree of its severity.

Usually, no treatment is done before conception. However, a woman with this peculiarity should apply to specialists as early as possible to monitor her pregnancy.

In the early stages, patients with abnormalities of the uterus are recommended bed rest, prescribe plant sedatives and antispasmodics, for example, no-shpu. Also use uterine or dufaston until 20 weeks to maintain pregnancy. These drugs are artificial gestagens, analogues of the hormone progesterone.

Also used drugs that improve blood circulation in the placenta, for example, troxevasin, actovegin, esseniale-forte. In the late term, drugs are prescribed to prevent fetal development delay and normalization of metabolic processes.

Doctors recommend sexual rest and exclusion of physical activity. Childbirth should be carried out in medical institutions, where they can provide emergency care, as these patients increase the risk of complications.

How does this anomaly develop? The formation of the uterus in the girl begins at the 10-14th week from the merged Mullerian ducts, that is, from the two halves. Thus, two utero-vaginal cavities are formed, which are separated by a septum. In the future, it disappears and a monoclaval uterus is obtained.

If this mechanism fails, then there are various developmental anomalies. These include a single-horned, bicornic uterus, as well as its doubling. Possible the presence of partitions, including the vagina. Varieties of the two-legged uterus are complete, incomplete and saddle-shaped. If a woman can not become pregnant with anomalies of development for 2 years, and there are no other reasons, then it is recommended to perform plastic surgery.

So, the saddle uterus and pregnancy are completely compatible. However, bearing the baby from the very first days should occur under the supervision of a specialist, since with this pathology the probability of its interruption increases. Rest and taking a number of medications is recommended. Childbirth can also take place with complications, if the fetus is not properly positioned, a caesarean section is performed.