How is a Müllerian anomaly treated?
Treatment for a Müllerian anomaly depends upon the specific condition.
If the Müllerian anomaly is associated with a vaginal septum that is obstructing menstrual flow, we will need to perform a surgical resection (removal) of the vaginal septum.
If the anomaly is a septate or subseptate uterus, we may recommend surgery to prevent miscarriages or premature deliveries. This treatment requires outpatient surgery with a hysteroscope and the resection of the uterine septum. During hysteroscopy, we place a small camera called a hysteroscope through the cervix and into the uterine cavity, which allows us to see the septum directly. We then use the camera to guide us while we use a small surgical instrument to remove the septum, returning the divided cavity to a normal, single cavity.
If the uterine anomaly is a bicornuate uterus, unicornuate uterus, or a didelphic uterus, the malformation cannot be surgically resected because this would permanently damage the tensile strength of the uterine muscle. Instead, we counsel these patients about future reproductive risks, including risk for premature delivery, which requires additional monitoring by an obstetrician during pregnancy.
Why choose us for the treatment of a Müllerian anomaly?
Müllerian anomalies are uncommon conditions and they require management by an experienced multidisciplinary care team, including specialists from radiology, gynecology, urology, pediatric surgery, colorectal surgery, as well as psychology, who help provide emotional support for our patients. At Children’s Hospital Colorado, we have the experience managing these complex conditions and the multidisciplinary team to optimize the surgical outcome and psychosocial well-being of our teens.