Double Uterus

Diagnosis

A double uterus is often discovered during a routine pelvic exam. During the exam, your doctor may notice two cervices or feel that your uterus has an unusual shape. To confirm the diagnosis, several imaging and diagnostic tests may be recommended:

• Ultrasound: This imaging test uses high-frequency sound waves to create pictures of internal organs. A transducer may be placed on your abdomen or inserted into your vagina (transvaginal ultrasound). Both types may be needed for clear visualization. A 3D ultrasound can provide detailed images if available.

• Sonohysterogram: This special ultrasound involves injecting fluid into the uterus to outline its shape. It helps identify unusual structures or divisions inside the uterus.

• Magnetic resonance imaging (MRI): This painless test uses magnetic fields and radio waves to produce detailed cross-sectional images of the uterus and surrounding structures.

• Hysterosalpingography: During this procedure, dye is injected into the uterus and fallopian tubes. X-rays then capture their shape and size, showing any abnormalities or blockages.

In some cases, your healthcare provider may also recommend an ultrasound or MRI to check for kidney abnormalities, as these can sometimes occur alongside a double uterus.

More Information

• MRI

• Ultrasound

Treatment

Treatment for a double uterus is usually not necessary if there are no symptoms or complications. Surgery to merge two uterine cavities is uncommon and typically not required.

However, treatment may be considered in certain cases:

• Recurrent pregnancy loss: If you have a partially divided uterus and have experienced unexplained miscarriages, surgery to remove the dividing tissue may improve your chances of a successful pregnancy.

• Double vagina: When a double uterus is accompanied by two vaginas, a surgical procedure can remove the wall of tissue separating them, which can make childbirth easier.

Preparing for your appointment

You may begin by consulting your primary care provider or be referred to a specialist. Specialists may include:

• A gynecologist, who focuses on female reproductive health

• A reproductive endocrinologist, who specializes in fertility and hormonal issues

What you can do before your appointment:

• Ask if there are any special preparations needed for upcoming tests.

• Make a list of:

  • Your symptoms, even those that may not seem related.

  • Key personal and family medical history, including major stressors or life changes.

  • All medications, vitamins, and supplements you take, including doses.

  • Questions you’d like to ask your doctor.

• Bring a family member or friend for support and to help remember key details from your visit.

Questions to ask your doctor may include:

• What’s likely causing my symptoms?

• Are there other possible causes?

• Do I need any tests or treatment?

• What are my treatment options?

• Are there any restrictions I should follow?

• Should I see a specialist?

• Do you have any educational materials or reliable website recommendations?

What to expect from your doctor

Your doctor may ask questions such as:

• When did your symptoms begin?

• Are your symptoms constant or occasional?

• How severe are your symptoms?

• Do you have regular menstrual cycles?

• Have you ever been pregnant or given birth?

• Does anything make your symptoms better or worse?

These questions help your doctor understand your condition better and guide the next steps for diagnosis or treatment.