Sexual and Reproductive Performance in Patients with Mullerian Duct Anomalies (MDAs): A Clinical Application of Basic Embryology of the Female Internal Duct System
Ipyana Hudson Mwampagatwa, M.D.
School of Medicine
Department of Obstetrics and Gynecology
University of Dodoma
The basic knowledge of embryology lays a solid foundation for clinicians to build on their clinical knowledge and skills in managing patients with congenital malformations. The field of embryology is often forgotten by clinicians, they only come to recall when they encounter congenital malformations in their field of clinical practice.
This article has briefly reviewed literature on the pathogenesis and types of the female duct system anomalies and their individual clinical applications in terms of sexual and reproductive functions. Furthermore the chapter has included a brief discussion of the challenges in diagnosis and management of mullerian duct anomalies in resource constrained settings.
In preparation of this chapter, many standard textbooks in basic embryology as well as published research papers and case reports were referred. I would at this point appreciate the efforts of these authors of these original works for their efforts that has laid a valuable foundation for generations to come. The list of consulted text books and publications are mentioned in superscript numbers within the text and listed at the end of this chapter. At this point I should therefore suggest that the readers take efforts to read the listed references for further understanding of the subject.
Basically the chapter is meant to shade light on sexual and obstetric outcomes in women with Mullerian duct anomalies for medical students, residents in Obstetrics and Gynecology as well as practicing doctors in resources limited setting.