Clinical Characterization of Genital Tract Malformations: A Retrospective Cohort Study on Associations with Endometriosis and Pregnancy Outcomes

Obstructive malformations are associated with early-onset, severe EM, likely facilitated by retrograde menstruation. Non-obstructive variants are linked to insidious EM progression and diagnostic delay. Timely surgical correction, particularly for septal anomalies, significantly improves fertility. Integrating MRI into diagnostic protocols and maintaining a high index of suspicion for occult malformations in adolescents with EM are crucial.