Mullerian anomalies are congenital abnormalities which are present in 5% of infertile population and 15% of the patients with recurrent miscarriage. Patients with in utero DES exposure or some unknown aetiologies are likely to have a T-shaped uterus with corneal restriction bands, pretubal bulges, lower uterine segment dilation, and a small and irregular cavity with borders resembling adhesions.

The complications of the T or Y shaped uterus are as follows:

Infertility

Early abortions

Recurrent miscarriages

Recurrent implantation failures

Intrauterine growth retardation

Fetal positioning abnormalities

Preterm labor

Management:Hysteroscopic enlargement of the lateral and upper walls of the uterus
1 month of intrauterine device
Balloon procedure and hormonal treatment