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[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.
The female reproductive system is composed of two embryological segments: the urogenital sinus and the paramesonephric ducts. The two are conjoined at the sinus tubercle. [2] [3] Paramesonephric ducts are present on the embryo of both sexes.
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]
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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]