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Living with Mullerian duct anomalies-limb anomalies syndrome

A rare condition that combines differences in the reproductive organs with differences in the hands and arms.

Understanding Mullerian duct anomalies-limb anomalies syndrome

Mullerian duct anomalies-limb anomalies syndrome is a rare condition that combines differences in the reproductive organs and in the hands and arms.

Females have differences ranging from a wall in the vagina to a doubled uterus and vagina, and males have a small penis. Limb differences range from an extra little finger to severe underdevelopment of the upper limbs with a split hand. Signs are seen in the newborn period.

Signs & symptoms

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

  • Uterus duplication (uterus didelphys)
  • Underdeveloped penis
  • Split hand
  • Underdeveloped forearm bone (ulna)
  • Short limbs and short stature
  • Smaller-than-average head size (microcephaly)

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, maternal-fetal medicine specialists, urinary and male reproductive system specialists and women’s reproductive health 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); Maternal-fetal medicine specialists (pregnancy-related); Urinary and male reproductive system specialists (urologists); Women’s reproductive health specialists (obstetricians / gynecologists)
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 rare disease patient organizations for support
  • 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
Is genetic testing available to confirm this diagnosis?
Which specialists should follow reproductive health and the limbs?
What options exist for treating the limb differences?

Quick facts

Symptoms usually startNewborn
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is autosomal dominant, which means a changed copy of the gene from one parent can be enough to cause it.

GeneticUrinary and Reproductive

Also known as: hypomelia with mullerian duct anomalies; limb uterus syndrome; müllerian duct anomalies-limb anomalies syndrome; severe upper limb hypoplasia and mullerian duct anomalies

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Mullerian duct anomalies-limb anomalies syndromeGARD ID 2908 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

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