RT Book, Section A1 Hoffman, Barbara L. A1 Schorge, John O. A1 Halvorson, Lisa M. A1 Hamid, Cherine A. A1 Corton, Marlene M. A1 Schaffer, Joseph I. SR Print(0) ID 1171530754 T1 Anatomic Disorders T2 Williams Gynecology, 4e YR 2020 FD 2020 PB McGraw-Hill Education PP New York, NY SN 9781260456868 LK accessmedicine.mhmedical.com/content.aspx?aid=1171530754 RD 2024/04/19 AB Congenital anatomic disorders of the female reproductive tract develop frequently and result from insults at critical embryonic stages. Influences include genetic mutation, epigenetic factors, developmental arrest, or abnormal hormonal exposures. Disorders range from congenital absence of the vagina and uterus, to lateral or vertical fusion defects of the müllerian ducts, to external genitalia that are ambiguous. Sexual differentiation is complex and requires both hormonal pathways and morphologic development to be normal and correctly integrated. Thus, neonates with genital anomalies not surprisingly often have multiple other malformations. Associated urinary tract defects are especially frequent and are linked to the concurrent embryonic development of both reproductive and urinary tracts (Hutson, 2014).