Chronic Pelvic Pain 

OB/GYN differentials for chronic pelvic pain Urologic differentials for chronic pelvic pain Gastrointestinal differentials for chronic pelvic pain Musculoskeletal differentials for chronic pelvic pain Neurologic differentials for chronic pelvic pain Other differentials for chronic pelvic pain

Arcuate Uterus

An arcuate uterus occurs when the septal dimple on the cranial uterus persists: the septal dimple is a small remnant of the septum. It is an incidental finding on MRI and is associated with no obstetric complications.

Septate Uterus

A septate uterus occurs when the membranous uterine septum, which separates the two Müllerian ducts, persists.Like a bicornuate uterus, it can be partial or complete. The difference from a didelphys uterus or a bicornuate uterus is that it has a normal fundal…

Bicornuate Uterus

A bicornuate uterus occurs when the two Müllerian ducts partially unite. It is the most common uterine anomaly and presents with recurrent preterm delivery or malpresentation. MRI helps evaluate the fundal contour to distinguish a bicornuate uterus from a septate uterus. Types of bicornuate uterus Type…

Didelphys Uterus

A didelphys uterus occurs when the two Müllerian ducts fail to fuse. This results in two single-horned uteri and two vaginas separated by a thin wall. There may or may not be a double cervix (since fusion occurs caudally going cranially). The most common presentation is recurrent preterm…

Mullerian Hypoplasia and Agenesis

Mullerian hypoplasia, AKA Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome, occurs when both Mullerian ducts fail to form. Complete failure to form is known as Mullerian agenesis, while partial development is known as Mullerian hypoplasia. It presents as primary amenorrhoea since the proximal vagina, cervix, uterus, and fallopian tubes are absent. Mullerian…

Congenital Uterine Abnormalities

Congenital anomalies of the uterus occur when the Müllerian ducts fail to form, fail to fuse, or the septum fails to dissolve completely. These abnormalities are characterised by recurrent preterm labour and delivery. More severe abnormalities can manifest earlier in adolescence. 5 – 6%…

Urge Urinary Incontinence

Urge urinary incontinence is characterised by involuntary urine leakage, which is preceded by a perceived, strong, imminent need to urinate. It differs from Overactive bladder (OAB), which is an umbrella term for increased urinary urgency, with or without incontinence. Overactive bladder affects men…