accuracy of ultrasound in diagnosis of unicornate uterus

[Guest guest]

My 23 year old daughter went to her gynecologist because she thought

she had a urinary tract infection. The doctor ruled that out, but

did an ultrasound to look for kidney stones. She later called my

daughter and told her that she had a malformed uterus. She said she

had only one viable side---didn't use the term unicornate, but I am

assuming this is what she means. She launched into an extremely

pessimistic explanation, saying this might mean my daughter could

never have children. My question is this: How accurate is a

routine ultrasound in diagnosing mullerian abnormalities? The

information I see on the internet seems to be conflicting. Some

sites say that ultrasound is an inprecise tool and not of value in

this diagnosis. Some say it is. Some say the MRI is the gold

standard. Where do we go from here????

[Guest guest]

Hi,

I would suggest she has an HSG done. That would one of the best

tests to tell what she has.

I've had 4 mc and have had several ultrasounds. My UU was never

caught during any of those.

Hope that helps some. Good luck to your daughter.

Sheryl

In MullerianAnomalies , " bookreaderlibrary "

<annehowson@c...> wrote:

> My 23 year old daughter went to her gynecologist because she

thought

> she had a urinary tract infection. The doctor ruled that out, but

> did an ultrasound to look for kidney stones. She later called my

> daughter and told her that she had a malformed uterus. She said

she

> had only one viable side---didn't use the term unicornate, but I

am

> assuming this is what she means. She launched into an extremely

> pessimistic explanation, saying this might mean my daughter could

> never have children. My question is this: How accurate is a

> routine ultrasound in diagnosing mullerian abnormalities? The

> information I see on the internet seems to be conflicting. Some

> sites say that ultrasound is an inprecise tool and not of value in

> this diagnosis. Some say it is. Some say the MRI is the gold

> standard. Where do we go from here????

[Guest guest]

Hi Sheryl,

First let me say any Dr that would call and your Dr and give her such a

diagnosis over the phone isn't one I would want to see. Second Ultrasounds

aren't the most effective way to diaganose a MA. I had a HSG which showed I

had a BU, had a MRI which showed I had a SU. then had the lap/hyst surgery done

9/8/04 and found out it was SU with a lot of scar tissue that adhered to itself

which was the reason they though I could be BU. If it was up to me if the Dr

suspected I had a MA, without a doubt I would have went straight for the

surgery. Face it humans read the HSG and MRI and Ultrasound reports and humans

make mistakes.

I see that you and your daughter are both (possibly) UU. how were you

diagnosed? Is this Dr a specialist? If not I would get a SECOND opinion.

Good Luck and God Bless,

SUSAN T. 4/mc SU-resected 9/8/04.

bookreaderlibrary wrote:

My 23 year old daughter went to her gynecologist because she thought

she had a urinary tract infection. The doctor ruled that out, but

did an ultrasound to look for kidney stones. She later called my

daughter and told her that she had a malformed uterus. She said she

had only one viable side---didn't use the term unicornate, but I am

assuming this is what she means. She launched into an extremely

pessimistic explanation, saying this might mean my daughter could

never have children. My question is this: How accurate is a

routine ultrasound in diagnosing mullerian abnormalities? The

information I see on the internet seems to be conflicting. Some

sites say that ultrasound is an inprecise tool and not of value in

this diagnosis. Some say it is. Some say the MRI is the gold

standard. Where do we go from here????

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[Guest guest]

Hi there,

I am soo sorry that your daughter is going through all of this. I

agree with everyone else, an MRI or at least an HSG should be done.

I was diagnosed with my UU during the c-section birth of my

healthy baby boy at 35 weeks.....yes, I have a UU and I not only

conceived a very healthy baby boy naturally and carried him to 35

weeks, but I am also pregnant again (18 weeks) and so far my

pregnancy has been trouble free. While a UU can definately cause

problems in carrying a baby to term, each UU is a unique situation

and therefore the outcomes are completely individual to the

situation. Some women unfortunately have a very difficult time

having a baby, while others like myself, seem to have only small

issues and hurdles to deal with. Your daughter will never know

which category she falls in until she tries to become a mother and

her doctor obviously has very little experience with MÁ's, otherwise

he would never have made such an inconsiderate and uneducated

comment. As a matter of fact, the good majority of specialists who

ARE experienced with MA pregnancies actually tend to be very

positive and optomistic about MA pregnancy outcomes. If your

daughter does have a UU, the good news is that she is aware of her

condition, and will know enough ahead of time to seek the proper

medical guidance (ie. a peri or high-risk OB) and will receive top

notch care from a medical professional who's main job is to " keep "

someone pregnant for as long as possible.

All my best to her during this scary time.

, UU

DS 10/13/02

baby#2 EDD 02/18/05

> My 23 year old daughter went to her gynecologist because she

thought

> she had a urinary tract infection. The doctor ruled that out, but

> did an ultrasound to look for kidney stones. She later called my

> daughter and told her that she had a malformed uterus. She said

she

> had only one viable side---didn't use the term unicornate, but I

am

> assuming this is what she means. She launched into an extremely

> pessimistic explanation, saying this might mean my daughter could

> never have children. My question is this: How accurate is a

> routine ultrasound in diagnosing mullerian abnormalities? The

> information I see on the internet seems to be conflicting. Some

> sites say that ultrasound is an inprecise tool and not of value in

> this diagnosis. Some say it is. Some say the MRI is the gold

> standard. Where do we go from here????