Female with complaints of infertility, HSG showing what?
Ans. A. Unicornuate uterusCongenital Mullerian malformations (American Fertility Society Classification System):a. Class I (agenesis, hypoplasia): - Uterus is absent in total agenesis. Partial agenesis is identified as Unicornuate uterus. In hypoplasia, the endometrial cavity is small with reduced intercornual distance of less than 2cm.b. Class II (Unicornuate uterus): - Appears banana-shaped without the rounded fundus and triangular-shaped uterine cavity. If present, rudimentary horn presents as a soft tissue mass with similar myometrial echogenicity. Obstruction in the rudimentary horn is recognized as hematometra on one side.c. Class III (uterus didelphys): - The two horns are widely separated, but vaginal septum is difficult to identify.d. Class IV (bicornuate uterus): - Shows two uterine cavities, with concave fundus, with fundal cleft greater than 1cm, and this differentiates between the bicornuate and the septate uterus. The intercornual distance is more than 4cm.e. Class V (septate uterus): - Shows a convex or flattened fundus. The intercornual distance is normal (4cm) and each cavity is small.f. Class VI (arcuate uterus): - With no fundus is of no clinical importance.
Unicornuate uterus
Septate uterus
Bicornuate uterus
Uterus didelphys
Miscellaneous (Obs)