Mˇllerian Anomalies

The diagnosis and management of girls and young women with Müllerian anomalies requires not only knowledge of embryologic development, but an awareness of the known associations of structural anomalies of the female reproductive tract with other congenital anomalies, including renal anomalies and anorectal malformations. Recognition of such associations appropriately guides the diagnostic evaluation and allows potential simultaneous operative treatment. Because reproductive anomalies are not rare, most clinicians will encounter these abnormalities within routine gynecologic practice and an organized discussion is advantageous for appropriate diagnosis, management, and possible referral. Familiarity with the anomalies, associations and optimal treatment allows providers to offer the recommended clinical care in a timely way, avoiding unnecessary delays and potential compromise to reproductive success.