Mullerian anomalies: from diagnosis to intervention

Background: The aim of the study was to observe prevalence of Mullerian anomalies, their clinical features, various investigation modalities to diagnose anomalies, various treatment modalities to correct anomalies and outcome after correction. Methods: A prospective study of congenital uterine anomalies and its outcome was performed by using data from women with congenital anomalies presented in OPD at tertiary care hospital. Total 25 women with various congenital anomalies included in this study. In these cases, diagnosis was made on clinical examinations and confirmed by diagnostic modalities like USG, MRI, laparoscopy and hysteroscopy. And then a plan of management was decided, and surgery was planned. And then follow up for 1 year. Results: In this study, most common anomaly seen was septate uterus followed by Mullerian agenesis. Most common presenting symptom was infertility (primary and secondary) followed by primary amenorrhea. Conclusions: Mullerian anomalies present themselves in diverse forms. Mullerian anomalies may be difficult to diagnose. For planning treatment and management strategies, establishing an accurate diagnosis is mandatory. The surgical approach for correction of utero vaginal anomalies is tailored to the type of malformation.