Mullerian Duct Anomaly- A Spectrum of Varied Clinical Manifestations

Introduction: Multiple integrated steps are required for normal development of the female genital tract. A wide variety of malformations can occur when this system is disrupted either in form of nondevelopment or defective fusion or failure of resorption. The purpose of this study was to review the spectrum of symptoms with which mullerian anomalies present so that timely intervention could be done to save sexual and reproductive life. Material and methods: The study was done in the department of Obstetrics and Gynaecology of a tertiary care teaching hospital in Bihar. Only the admitted cases i.e,those who required surgical correction were taken into study. Results: Majority of patients presented with severe abdominal pain(71.4%) followed by menstrual problems (46.4%), and urinary symptoms (35.7%) including vvf. 25% patients reported subfertility, 14.2% abdominal lump and 14.2% dyspareunia, 10.7%PID and 10.7% rectal pressure symptoms. Majority had transverse vaginal septum (28.5%),followed by MRKHS and OHVIRA syndrome (14.2% each), Conclusion: The variety of ways with which mullerian duct anomalies present hints that clinical suspicion should be there if early diagnosis is not to be missed.