Anomalies of Female Ductal

System
Classification System: American
Fertility Society
Vertical Fusion Defects
Transverse Vaginal Septum
 Uterus didelphys, bicollis, with
complete upper vaginal septum with
bilateral obstruction
Lateral Fusion defects without
obstruction
 Uterine didelphys with complete
vaginal septum
 Resection of septum:
metroplasty or
hysteroscopic
resection of septum
 Obstructed
hemivagina and
ipsilateral renal
agenesis will have
regular menses, but
pain.
Didelphic Uterus
1. Unicornuate 2. Unicornuate with uterine horn (not
containing an endometrial cavity) not fused to
unicornuate uterus
1. Unicornuate with uterine horn (no endometrial cavity)
fused to unicornuate uterus 2. Unicornuate uterus with
noncommunicating horn containing endometrial cavity
not fused
Unicornuate with communicating
uterine horn
Septate Uterus: Partial and Complete
Bicornuate Uterus