A 32-year-old woman with gravida 4 para 0 arrives at the clinic for an examination of recurrent pregnancy loss. She has had four spontaneous abortions in a row with the same man. The patient's menstrual periods are 28 days apart, with minor bleeding for 2-3 days in between. She has no chronic medical concerns and does not use any drugs on a regular basis. The patient does not smoke, drink alcohol, or use illegal drugs. The exhibit displays the results of her hysterosalpingogram. Failure of which of the following processes is the most likely underlying mechanism of this patient's condition?

Question

A 32-year-old woman with gravida 4 para 0 arrives at the clinic for an examination of recurrent pregnancy loss. She has had four spontaneous abortions in a row with the same man. The patient's menstrual periods are 28 days apart, with minor bleeding for 2-3 days in between. She has no chronic medical concerns and does not use any drugs on a regular basis. The patient does not smoke, drink alcohol, or use illegal drugs. The exhibit displays the results of her hysterosalpingogram.  Failure of which of the following processes is the most likely underlying mechanism of this patient's condition?

Quizplus · Accepted Answer

Eductional Objective: The paramesonephric (Müllerian) ducts combine to create the fallopian tubes, uterus, cervix, and upper vagina in females. Any disruptions in this mechanism can result in a variety of Müllerian duct abnormalities (eg, bicornuate uterus, uterine didelphys). Renal irregularities are a frequent comorbidity.

A 32-Year-Old Woman with Gravida 4 Para 0 Arrives at the Clinic