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Living with Double uterus-hemivagina-renal agenesis syndrome

A rare condition present from birth with a double uterus, a blocked half of the vagina, and a missing kidney on the same side, often found at puberty.

Understanding Double uterus-hemivagina-renal agenesis syndrome

Double uterus-hemivagina-renal agenesis syndrome is a rare condition present from birth that affects the uterus, vagina, and kidney.

People with this condition have a double uterus and a blockage in one side of the vagina or cervix. They also have a kidney difference on the same side, such as a missing kidney. It is usually found at puberty after periods begin, due to severe period pain, ongoing pelvic pain, discharge, or bleeding between periods. Fever and a mass in the belly or pelvis may also occur.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Painful periods (dysmenorrhea)
  • Long-lasting pelvic pain
  • Bleeding between periods
  • Missing kidney on one side (renal agenesis)
  • Fever
  • Pain with sex (dyspareunia)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, kidney specialists, maternal-fetal medicine specialists and urinary and male reproductive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists); Maternal-fetal medicine specialists (pregnancy-related); Urinary and male reproductive system specialists (urologists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Kidney Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which imaging tests can show the uterus, vagina, and kidneys?
What treatment is available for the blocked side of the vagina?
How might this affect periods and future pregnancy?

Quick facts

Symptoms usually startduring Pregnancy, at Birth, and as an Infant

GARD says changes in a person's genes cause this condition. It doesn't list a specific gene.

GeneticKidneyUrinary and Reproductive

Also known as: double uterus and obstructed hemivagina syndrome; herlyn-werner syndrome; obstructed hemivagina and ipsilateral renal anomaly; ohvira syndrome; uterus bicornis bicollis with partial vaginal septum and unilateral hematocolpos with ipsilateral renal agenesis; wunderlich syndrome

Patient organizations

Source: NIH GARD · Double uterus-hemivagina-renal agenesis syndromeGARD ID 1910 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Double uterus-hemivagina-renal agenesis syndrome.

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