Benign Disorders of the Uterus

Abstract

Uterine Pathology Uterine Anomalies Congenital anomalies (See section on Mullerian duct anomalies) DES exposure:  " T "-shaped uterus  Constricting bands within the uterine cavity  Hypoplastic uterus  Intrauterine polypoid defects and synechiae. Synechiae are adhesions found within the uterine cavity. Acquired anomalies A s h e r ma n ' s s y n d r o me : o b l i t e r a t i o n o f t h e e n d o me t r i a l c a v i t y a s a r e s u l t of excessive or traumatic uterine instrumentation. Endometrial tissue is replaced with collagen resulting in development of uterine adhesions or synechiae. Clinical presentation: amenorrhea or hypomenorrhea; infertility; recurrent spontaneous abortions. Benign Disorders of the Uterus Pyometra and hematometra: pus and/or blood filling the uterine cavity. Conditions are typically associated with outflow obstruction of the genital tract such as cervical or vaginal atresia, acquired cervical stenosis, imperforate hymen; and transverse vaginal septum. Clinical presentation: primary amenorrhea; dysmenorrhea; endometriosis, infertility. Endometritis: an inflammatory reaction of the endometrium. May be acute or chronic. Most common causes include: STD infections; instrumentation procedures that introduce organisms into the endometrial cavity.