Prevalence Rate of Congenital Uterine Anomalies in Benghazi City 2023 (Benghazi Medical Centre, Hawari General Hospital Benghazi and Benghazi Fertility Teaching Hospital)

Abstract

Congenital Uterine anomalies (CUAs) of the female genital tract are alterations in embryonic development due to an interruption or deviation in the ontogenesis of individual organs or parts, of the reproductive tract. The aetiology of these anomalies is unknown. Congenital Mullerian anomalies encompass minor abnormalities within the uterine cavity and vary from uterine and vaginal agenesis to duplication of the uterus and vagina. These are the congenital anomalies that result from arrested development, abnormal formation, or incomplete fusion of the mesonephric ducts. CUAs have been related with infertility, recurrent pregnancy loss, prematurity and other obstetric complications which increase perinatal morbidity and mortality rates. Congenital anomalies are the result of absence of fusion or reabsorption of the septum in-between the tubes or agenesis of one or two of them. There are 7 types from CUAs according to American Fertility Society (AFS). The aim of this study is to investigate prevalence rate of CUAs, knowing the most common type of CUAs in Benghazi City for the year 2023 and the possibility of a normal pregnancy and childbirth despite having CUAs. This study was a descriptive cross-sectional study carried out for 1069 women in Benghazi city. 612 women of (Department of Obstetrics and Gynecology) in Benghazi Medical Centre, 357 women of (Department of  Infertility) in Hawari General Hospital Benghazi and 100 women of Benghazi Fertility Teaching Hospital. A total of 1069 women were included in the study, (1053) 98.5 % had a normal results and (16) 1.5 % had CUAs. The most common anomalies was Bicornuate 43.75 %. In this study, about 64.6 % of infertile women (457) had an association with secondary infertility and 35.4 % primary infertility. There is also a possibility of pregnancy in some women with a congenital malformation of the uterus.