Causes of hypoplasia
Uterine hypoplasia occurs for various reasons, but three of them are most common:
- delayed intrauterine development of the fetus - a girl is born with pathology;
- hormonal disruption in childhood and adolescence due to a malfunction of the thyroid gland;
- genetic - features of the development of genitals are found in all or almost all family members on the female line.
The pathology of the development of the uterus may turn out to be a psychosomatic reaction of the body to prolonged stresses experienced in early childhood. Prolonged colds and infections can play a significant role. The development of the genitals is influenced by the age of onset of intimate life, nutrition, physical activity and other factors.
Three degrees of uterine pathology
Doctors distinguish between three degrees of uterine hypoplasia, which determine its size and shape. The most difficult thing is to realize the reproductive capacity of an organism with a fetal (embryonic) uterus: its size does not exceed 3 cm, the cavity is practically absent, it consists almost entirely of the neck. The formation of such a uterus ends even before the birth of the girl. The next degree is the children's uterus, which does not exceed 5 cm in size, which corresponds to the level of development of female genital organs at 9-10 years. In this case, the uterine cavity is there, but it is small. The third degree is an adolescent uterus, up to 7 cm in length - like in girls 14-15 years old. If we take into account that the normal length of the uterus is from 8 cm, the third degree of uterine hypoplasia is sometimes considered not a pathology, but the lower limit of the norm.
Diagnostics - a set of procedures
Girls with a late onset of menstruation (after 16 years) and a slender physique: a narrow pelvis, undeveloped mammary glands can suspect uterine hypoplasia. Pathology is accompanied by decreased libido and anorgasmia, irregular menstrual cycle.
Pregnancy and hypoplasia
Conception for a woman with a fetal uterus is almost impossible: in this case, doctors offer IVF fertilization and services of a surrogate mother. Owners of a child's and, even more so, a teenage uterus are offered a course of hormonal therapy to restore the functions of the thyroid gland, as well as physiotherapy procedures to normalize blood circulation in the pelvic organs. This complex helps to "grow" the uterus to the desired size and prepare the body for pregnancy.
Pregnancy with uterine hypoplasia is complicated by an increased risk of spontaneous abortion, for the prevention of which outpatient and inpatient therapy is prescribed. Natural childbirth can threaten the mother and child with complications, so women in labor with hypoplasia often undergo a caesarean section.