LIFE by Dr. Pat fertility clinic

Hysteroscopy compared: the normal and the dysmorphic uterus

Let us look at how a normal and a dysmorphic uterus actually differ

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Author

Dr. Patsama Vichinsartvichai — Thai Board of Obstetrics and Gynaecology; Thai Board of Reproductive Medicine; Diploma in Gynaecological Endoscopic Surgery; MClinEmbryol, EFOG-EBCOG, EFRM-ESHRE/EBCOG.

Signs of a dysmorphic uterus

  • Scanty menstrual flow
  • Periods lasting only a few days
  • Difficulty conceiving
  • Recurrent miscarriage
  • Failure to conceive after transferring a chromosomally normal embryo in IVF

Investigations used for diagnosis

  • 3D-TVUS (three-dimensional transvaginal ultrasound)
  • Hysteroscopy + laparoscopy
  • MRI

Hysteroscopy serves both to confirm the diagnosis and to carry out the surgical correction, in the same sitting.

What a normal and a dysmorphic uterus look like

The clips below are real hysteroscopy recordings, showing the appearance of a normal uterine cavity next to a dysmorphic one.

Lecture clip on the dysmorphic uterus and its ultrasound assessment (ISUOG)
Hysteroscopy recording

Before and after surgical correction

The following footage is from the same patient, comparing the cavity before surgery with the cavity after hysteroscopic correction.

Hysteroscopy recording from the same patient

Wondering whether you have a dysmorphic uterus?

Assessment starts with a painless, non-invasive 3D ultrasound. Book online or call +66 83-432-4664.