successful pregnancy outcome following comprehensive management in women with herlyn-werner-wunderlich syndrome: a case report

The herlyn-werner-wunderlich syndrome (hwws) is an uncommon müllerian duct anomaly. a comprehensive approach to managing the diagnostic process, surgical intervention, and pregnancy planning is crucial. this report provides comprehensive management of a 26-year-old woman who experienced persistent menstrual pain and was directed to a fertility centre for further evaluation. the examination revealed the presence of herlyn-werner-wunderlich syndrome, accompanied by hematocolpos, focal adenomyosis, a large endometrioma, and rectovaginal endometriosis. collaborative operative management with a urogynecologist included laparoscopic procedures to address endometriosis and excision of the vaginal septum under laparoscopic guidance. following surgery, the patient underwent regular follow-up care at the fertility clinic. after one year, she participated in a pregnancy program and conceived naturally. due to the obstetric indications, she underwent a cesarean section delivery at 37 weeks of gestation. in general, this case exemplifies the entire journey from diagnosis, through preoperative and surgical care, involvement in a prenatal program, and oversight during pregnancy, ultimately resulting in a delivery with favorable and successful outcomes.