The spectrum of Müllerian Anomalies Presented in a Tertiary Care Centre: Three-Year Experience

Objective: Developmental anomalies of female genital tract are not very common to be seen in Gynaecological practice, incidence reported in the literature is 5-7%. Various systems of classification had been proposed according to the site of involvement, each having its own merits and demerits. Here, we present our experience of Müllerian anomalies for three years in a tertiary care Centre and classified them as per the most recent classification proposed by the European Society of Human Reproduction and Embryology (ESHRE).

Material and methods: Present study is a Prospective Cohort Study including all cases diagnosed to have Müllerian duct anomalies. Cases were worked-up and investigated to reach a final diagnosis and classified according to CONUTA system and case-based management was done for each case. All cases were assessed in terms of the final outcome and are being followed-up.

Results: In the defined time, we managed total of 33 cases with different Müllerian anomalies. Main presenting symptoms were cyclical pain abdomen, primary amenorrhoea, infertility and recurrent miscarriage. Most of the patients belonged to the adolescent age group. With optimum surgical management, we reported good patient outcome for all the cases.

Conclusion:  Cases of Müllerian anomalies should be dealt with empathy, as most of the patients are adolescents. Proper work-up and case-based management lead to a good patient outcome and improved quality of life.