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Uterine hypoplasia, what is it? - Degrees, treatments and pregnancy

The uterus is the organ of the reproductive system of a woman, intended for carrying a child. Therefore, its size should be such that the muscles that form the basis of this body can stretch sufficiently and accommodate the full-term fetus during pregnancy.

In some of the fair sex, uterus parameters are determined below normal values. In this case, the diagnosis of "hypoplasia" is made, in which the full-fledged carrying of the child before the prescribed period becomes problematic.


Uterine hypoplasia - what is it?

Uterine hypoplasia - what is it

Uterine hypoplasia is a pathology of the development of the most important organ of the female reproductive system, consisting in the fact that the length, width and volume of the uterus is much less than acceptable values. The causes of this disease are different:

  • Intrauterine uterine development - occurs in the prenatal period, when the formation of the child’s organs depends entirely on the mother and the ecological situation that surrounds her.
  • Lesions of the pituitary and hypothalamus - these two parts of the central nervous system play a huge role in the puberty of a girl. If one of them functions improperly, then there is a risk of developing acquired hypoplasia of the genital organs.
  • Diseases of the endocrine system - hormonal disruptions due to dysfunction of the ovaries or the adrenal cortex, can in adolescence affect the maturation of the uterus and significantly slow down its development.
  • Lack of body weight in adolescence - becomes the cause of hypoplasia due to the fact that the lack of a sufficient amount of nutrients inhibits the function of the central nervous system, which is responsible for the normal development of the organs of the reproductive system.

Gynecologists note that the overwhelming majority of cases of underdevelopment of the uterus are not due to birth defects, but because of the pathological conditions of the body that occurred in childhood or adolescence of a woman.

The degree of hypoplasia of the uterus

Uterine hypoplasia in degrees

является патология. Underdevelopment of the uterus is divided into several degrees - the smaller the degree, the more serious is the pathology.

1 degree of hypoplasia - the size of the uterus does not reach three centimeters. Usually it is formed in a girl during the period of intrauterine development and has the name "embryonic uterus". The body of the organ is almost undeveloped, but the cervical canal may be larger.

Many women are interested in the question: is it possible to get pregnant with uterine hypoplasia of 1 degree? Doctors give a definite answer: you can, but the pregnancy will be difficult and you need to pre-tune in to the fact that most of the time will have to be spent in the hospital in the hospital.

2 degree of hypoplasia - the size of the uterus is more than 3 cm, but less than 5, 5 cm. Such a uterus is called "child". It is much better responding to treatment, therefore, in general, doctors give a favorable prognosis for carrying a child. Hypoplasia of the uterus 2 degrees means that the growth of the organ stopped in childhood.

3 degree of hypoplasia - the uterus is only slightly less than normal (from 6 to 7 centimeters). This degree suggests that organ development has stopped in adolescence. In some cases, the gynecologist does not prescribe treatment at all, making sure from the results of the examination that the uterus has only minimal deviations from the norm.

Uterine hypoplasia - is it possible to get pregnant?

Uterine hypoplasia and pregnancy

In theory, pregnancy is possible at any stage of hypoplasia, provided that the woman has other organs of the reproductive system that are normally developed: the ovaries and fallopian tubes.

The problem is that the smaller the body of the uterus, the less the woman's ability to carry the child to the end of the term.

If severe hypoplasia is detected, then first you need to undergo a course of treatment, the purpose of which will be to stimulate the growth of the uterus. When a positive effect is noted after therapy, you can begin planning pregnancy.

However, grade 1 hypoplasia can be combined with underdevelopment of the ovaries and fallopian tubes. As a result, two difficulties will arise during treatment and attempts at conception: the ovaries will not be able to sufficiently produce female sex hormones, or the egg will not be able to enter the fallopian tube if this organ also has underdevelopment.

Treatment of uterine hypoplasia, drugs

The basis of the correction of uterine hypoplasia is hormone therapy. The body of each woman is individual, so someone will have a positive effect immediately after the first course of treatment, and even the most intensive therapy will not bring the desired result.

  • Hormonal drugs - as a rule, these are oral contraceptives (usually Diane-35), which the doctor prescribes to drink from several months to several years - it all depends on how the uterus reacts to the treatment.
  • Physical therapy - such types as magnetic therapy, diathermy, UHF therapy can be used. The goal is to make the ovaries work and normalize blood circulation in the pelvic cavity.
  • Massage - if the uterus is underdeveloped, a woman may be prescribed several gynecological massage courses that will pursue the same goals as physical therapy - stimulating the ovaries and increasing blood flow to the reproductive organs.

If you know in advance that the size of the uterus is much smaller than the norm, then you should not plan a pregnancy before hypoplasia is treated. Forcing events can lead to the fact that the baby will die due to lack of space for further development in the body cavity of the uterus.

But how to learn about hypoplasia before pregnancy?

Symptoms of uterine hypoplasia

Even if the size of the uterus does not meet the standards, it is impossible to determine that there is something wrong with this organ without an ultrasound examination and a gynecologist examination. A woman does not feel pain, discomfort, and therefore for a long time will not see a good reason to visit a doctor. However, there are a number of indirect symptoms that should alert:

  1. Irregular menstruation.
  2. Late onset of menstruation in adolescence.
  3. Infertility
  4. Painful periods .
  5. Not expressed pubescence.
  6. Miscarriages at the beginning and middle of the second trimester of pregnancy.

An accurate diagnosis can only be made by a doctor on an ultrasound scan or at a consultation in the antenatal clinic, focusing on the following signs:

  • On palpation, the doctor determines the abnormally small size of the uterus.
  • Ultrasound determines the following parameters of the uterus: length - less than 4.4 cm, width - less than 4.3 cm, thickness - less than 3.2 cm (if there were no pregnancies).
  • Ultrasound detects a violation of the ratio of the body of the uterus and cervix.
  • Sometimes during an ultrasound study, it turns out that the fallopian tubes and ovaries of a woman also have abnormally small dimensions.

An accurate diagnosis is made only after an ultrasound scan, and besides this, the doctor also takes into account indirect signs of uterine hypoplasia, which the patient told him about.


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