In his study of 26 women with a double uterus gynecological complaints included dysmenorrhea and dyspareunia.

[citation needed] Helpful techniques to investigate the uterine structure are transvaginal ultrasonography and sonohysterography, hysterosalpingography, MRI, and hysteroscopy.

[5] Whereas most doctors recommend removal of a uterine septum, they generally concur that it is better not to operate on a uterus didelphys.

Patients with a double uterus may need special attention during pregnancy as premature birth and malpresentation are common.

[1] Uterus didelphys, in certain studies, has also been found associated with higher rate of infertility, miscarriage, intrauterine growth retardation, and postpartum bleed.

[citation needed] A number of twin gestations have occurred where each uterus carried its pregnancy separately.

Marie, Michigan, delivered two healthy, although seven weeks premature, infants by cesarean section at Marquette General Hospital.

[9] On September 15, 2011, Andreea Barbosa of St. Petersburg, Florida, gave birth to fraternal twins, a boy and a girl, via C-section.

[10] On October 23, 2020, Kelly Fairhurst of Essex, England, delivered twins, a boy and a girl, at 35 weeks via a planned C-section.

[14] In 2019, Arifa Sultana of Bangladesh gave premature birth in February and then via emergency Caesarean section to twins, 26 days later.