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. 2009 Dec;82(984):1034–1042. doi: 10.1259/bjr/99354802

Table 1. Summary of the therapeutic interventions performed for the different classes of Müllerian Duct anomalies.

Class Treatment
I – Hypoplasia/agenesis No reproductive potential; medical intervention in the form of in vitro fertilisation of harvested ova and implantation in a host uterus needed
II – Unicornuate
Non-communicating, cavitary horn Always surgically resected, as it is associated with dysmenorrhoea, haematometra, endometriosis and ectopic pregnancy
Non-communicating, non-cavitary horn Surgery not currently recommended. No complications of endometriosis etc, as there is no endometrium
Communicating, cavitary horn Also surgically removed because pregnancy that implants in the rudimentary horn rarely is viable
No horn No treatment. Reproductive potential is possible
III – Didelphys May consider metroplasty; however, full-term pregnancies have occurred
IV – Bicornuate Surgical intervention rarely needed; may consider metroplasty
V – Septate Often treated with transvaginal hysteroscopic resection of the septum. Conception is possible 2 months after surgery