Ann Infertil Reprod Endocrinol | Volume 2, Issue 1 | Review Article | Open Access

Mullerian Anomalies in the Pediatric and Adolescent Population: Diagnosis, Counseling and Treatment Options

Jennifer Anhut de Groot, Tierney Wolgemuth BS and Joseph Sanfilippo*

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine, USA

*Correspondance to: Joseph Sanfilippo 

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Abstract

Mullerian Anomalies (MAs) are relatively common in the general population and occur from errors in embryologic development of the female reproductive tract. Classification systems exist in order to characterize these malformations, the most well known system being that created by the American Society for Reproductive Medicine (ASRM). Diagnosis of an MA may be incidental on physical examination or during evaluation for a menstrual or pain-related complaint. The pelvic examination specifically for the pediatric and adolescent populations should be approached with the intent to minimize trauma for the patient. If an MA is suspected based on evaluation, ultrasound or MRI is helpful in further delineating the exact diagnosis. Depending on the particular anomaly, counseling regarding the need for intervention and timing as well as options for fertility and sexual function should be approached with the patient and guardian, if appropriate. Many patients will experience feelings of isolation and despair regarding a diagnosis of an MA. As many patients are diagnosed at a relatively young age, a multidisciplinary and longitudinal approach should be taken to optimize social, mental, sexual, and physical wellbeing.

Citation:

de Groot JA, Tierney Wolgemuth BS, Sanfilippo J. Mullerian Anomalies in the Pediatric and Adolescent Population: Diagnosis, Counseling and Treatment Options. Ann Infert Rep Endocrin. 2019;2(1):1016..

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