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Chapter 5 - Developmental Female Genital Tract Anomalies

from Section 1 - Basic Sciences in Gynaecology

Published online by Cambridge University Press:  24 November 2021

By
Ivonne A. Bedei
Edited by
Tahir Mahmood ,
Charles Savona-Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona-Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

Congenital malformations of the genital system include the vulva, the hymen, the vagina, uterus, fallopian tubes and ovaries. The uterus and upper vagina develop from the caudal portion of the fused Müllerian ducts. The distal vagina develops from the urogenital sinus. Its canalization is normally completed by 20 weeks of gestation. The ovaries develop independently. Different anomalies can become apparent at different ages, also depending on whether they are obstructive or non-obstructive. Some affect fertility.

Keywords

female genital tractanomaliesvaginauterusMRKH syndrome
Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Gynaecology
 , pp. 41 - 43
Publisher: Cambridge University Press
Print publication year: 2021

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References

Tardie, SC, Appelbaum, H. Microperforate hymen and pyocolpos: a case report and review of the literature. J Pediatr Adolesc Gynecol 2018;31:140–142.CrossRefGoogle Scholar
Grimbizis, GF, Gordts, S, Di Spiezio Sardo, A, et al. The ESHRE/ESGE consensus on the classification of female genital tract congenital anomalies. Hum Reprod 2013;28:2032–2044.Google Scholar
Acién, P, Acién, M. The presentation and management of complex female genital malformations. Hum Reprod Update 2016;22:48–69.Google Scholar
Oppelt, P, Renner, SP, Brucker, S, et al. The VCUAM (vagina cervix uterus adnexa-associated malformation) classification: a new classification for genital malformations. Fertil Steril 2005;84:1493–1497.Google Scholar
Morcel, SR, Camborieux, L, Guerrier, D. Mayer–Rokitansky–Kuster–Hauser (MRKH) syndrome. Orphanet J Rare Dis 2007;2:13.Google Scholar

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