chapter  1
22 Pages

Development of the Reproductive Tract

Congenital abnormalities of the reproductive tract are surprisingly common with an incidence ranging from 1 in 200 to 1 in 600 women.1 Approximately 25 to 35% of women with congenital uterine anomalies have impaired reproductive potential ranging from an inability to ever achieve a pregnancy to repeated pregnancy loss, malpresentation, and premature labor. Clinical problems associated with acquired changes such as ovarian endometriomas, pelvic adhesive disease, or tubal obstruction range from chronic pelvic pain and dyspareunia to infertility. Management may be surgical in select cases but increasingly relies on ART.