A double uterus may be diagnosed during a routine pelvic exam when your doctor observes a double cervix or feels an abnormally shaped uterus. If your doctor suspects an abnormality, he or she may recommend any of the following tests:

  • Ultrasound. This test uses high-frequency sound waves to create images of the inside of your body. To capture the images, a device called a transducer is either pressed against your abdominal skin or inserted into your vagina (transvaginal ultrasound). Both types of ultrasound may be done to get the best view. A 3-D ultrasound may be used where available.
  • Sonohysterogram. The sonohysterogram (son-o-HIS-ter-o-gram), an ultrasound scan, is done after fluid is injected through a tube into your uterus by way of your vagina and cervix. This allows your doctor to look for problems in the shape of your uterus.
  • Magnetic resonance imaging (MRI). The MRI machine looks like a tunnel that has both ends open. You lie down on a movable table that slides into the opening of the tunnel. This painless procedure uses a magnetic field and radio waves to create cross-sectional images of the inside of your body.
  • Hysterosalpingography. During a hysterosalpingography (his-tur-o-sal-ping-GOG-ruh-fe), a special dye is injected into your uterus through your cervix. As the dye moves through your reproductive organs, X-rays are taken to determine the shape and size of your uterus and whether your fallopian tubes are open.
April 06, 2016
  1. Lentz GM, et al. Congenital abnormalities of the female reproductive tract. In: Comprehensive Gynecology. 6th ed. Philadelphia, Pa.: Mosby Elsevier; 2012. http://www.clinicalkey.com. Accessed Feb. 26, 2016.
  2. Iverson RE, et al. Clinical manifestations and diagnosis of congenital anomalies of the uterus. http://www.uptodate.com/home. Accessed Feb. 26, 2016.
  3. Hoffman BL, et al. Congenital genitourinary abnormalitis. In: Williams Gynecology. 2nd ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://accessmedicine.com. Accessed March 3, 2016.
  4. Kliegman RM, et al. Vulvovaginal and Mullerian anomalies. In: Nelson Textbook of Pediatrics. 20th ed. Philadelphia, Pa.: Elsevier; 2016. http://www.clinicalkey.com. Accessed March 3, 2016.
  5. Iverson RE, et al. Surgical management of congenital uterine abnormalities. http://www.uptodate.com/home. Accessed March 3, 2016.
  6. Laufer MR. Diagnosis and management of congenital anomalies of the vagina. http://www.uptodate.com/home. Accessed March 3, 2016.