Uterine dysplasia includes an absent uterus, a fundic uterus and an infantile uterus, and is usually treated with surgery or hormonal drugs.
Congenital absence of uterus is often combined with absence of vagina; basal uterus: the uterus is very small, most of it has no uterine cavity or is a solid myometrial uterus; and naïve uterus: it may have a uterine cavity and endometrium. All three have normal ovarian development.
Congenital absence of uterus or solid fundic uterus is asymptomatic and is often diagnosed on examination due to absence of menstruation after puberty. Naïve uterus with uterine cavity and endometrium may have cyclic abdominal pain due to retention of menstrual blood or retrograde menstrual flow if the cervix is hypoplastic or there is no vagina; infantile uterus has scanty menstruation or delayed menarche, which is often accompanied by dysmenorrhea. Examination reveals a small uterine body and a relatively long cervix.
Congenital absence of uterus, solid basal uterus can be left untreated; infantile uterus is generally advocated estrogen plus progesterone sequential cycle treatment, with cyclic abdominal pain or uterine blood need to be surgically removed.