Abstract

EFFECT OF REPRODUCTION IN UNICORNUATE UTERUS WOMEN

Sai Sri Kalam, Himaja Kumari Ponnada*, Momina Shaik

Abstract

Background: Unicornuate uterus is an uncommon condition which is an inherited anomaly of the mullerian duct with notable reproductive, gynaecologic, and obstetric outcome. In general complications are linked to presence or absence of a rudimentary horn, mostly when it comprises a functional endometrial cavity. Knowing the pregnancy outcome and reproductive performance in unicornuate uterus women is important for optimising clinical care of the women’s reproduction and pregnancy outcome. Methods: This systematic review gathers the findings from nine primary studies and case reports to evaluate reproductive outcomes, clinical presentations, diagnostic modes, and obstetric complications in unicornuate uterus women. This systematic review examines trends in risks, imaging techniques which were related to functional rudimentary horns, and analyses the different strategies for the management of the condition to give combined evidence based out line. Results: A functional rudimentary horn was an essential decision for complications like the rupture of the uterus, severe and chronic pelvic pain, ectopic pregnancies, and endometriosis in most of the studies that are reviewed. Reproductive function: live birth rates were between 38% and 61%, miscarriage rates between 16% and 42%, obstetric complications like preterm birth rates between 17% and 21%, fatal malfunction rates between 18% and 48%, C-section rates higher than 60%, and twin pregnancies having a lot of risks. And the ectopic pregnancy risk was also high, especially for those women with a functional rudimentary horn. Accuracy in diagnosis should be improved with advanced transvaginal ultrasound and MRI(Magnetic resonance imaging) scans. The following systematic review collected evidence upholding the prophylactic excision of a functional rudimentary horn, which may prevent further rupture and reduce conditions like endometriosis. Conclusion: Women with a unicornuate uterus are suspectable to various forms of reproductive and obstetric difficulties, mostly if a functional rudimentary horn is existing. personalized management techniques should be individualized, putting focus on preconception counselling, early pregnancy surveillance, and multidisciplinary high-risk obstetric care. Prophylactic removal of functional horns may improve the outcome by lowering life-threatening complications.

Keywords: Unicornuate uterus, Rudimentary horn, Müllerian anomaly.