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The ASRM scale has been shown to be an effective self-reported questionnaire for screening patients with acute mania as well as measuring anti-manic treatment effects. [ 2 ] [ 3 ] Though only a 5-question instrument, the scale's compatibility with the clinician administered Young Mania Rating Scale and the DSM-IV criteria give substantial ...
Müllerian anomalies can be part of a multiple malformation syndrome. [1] [3] Studies have estimated that Mullerian anomalies can affect between 4 percent and nearly 7 percent of the female population. [4] [5] Müllerian anomalies occur as a congenital malformation of the Müllerian ducts during embryogenesis.
Müllerian agenesis, also known as Müllerian aplasia, vaginal agenesis, or Mayer–Rokitansky–Küster–Hauser syndrome (MRKH syndrome), is a congenital malformation characterized by a failure of the Müllerian ducts to develop, resulting in a missing uterus and variable degrees of vaginal hypoplasia of its upper portion.
Surgical intervention depends on the extent of the individual problem. With a didelphic uterus surgery is not usually recommended. A uterine septum can be resected in a simple out-patient procedure that combines laparoscopy and hysteroscopy. This procedure greatly decreases the rate of miscarriage for women with this anomaly. [citation needed]
Persistent Müllerian duct syndrome (PMDS) is the presence of Müllerian duct derivatives (fallopian tubes, uterus, and/or the upper part of the vagina) [1] in what would be considered a genetically and otherwise physically normal male. [2]
Four types of uterine malformations. The uterus is formed during embryogenesis by the fusion of the two paramesonephric ducts (also called Müllerian ducts). This process usually fuses the two Müllerian ducts into a single uterine body but fails to take place in these affected women who maintain their double Müllerian systems.
Anomalies that develop within the paramesonephric duct system continue to puzzle and fascinate obstetricians and gynecologists. The paramesonephric ducts play a critical role in the female reproductive tract and differentiate to form the uterine tubes, uterus, superior vagina as well as the uterine cervix.
Examination Typical findings Physical examination including a precautious pelvic exam by an experienced pediatric/adolescent gynecologist. Normal height, secondary sex characteristics, and hair growth.