Born With Two Vaginas

Editor’s Note: This article previously appeared in a different format as part of The Atlantic’s Notes section, retired in 2021.

A reader writes:

I have uterus didelphys—a.k.a. having two uteri, two cervixes, and two vaginas. (On top of that I have a hormonal imbalance, which one doctor said was PCOS [polycystic ovary syndrome]—I had a trans-vaginal ultrasound done and my ovaries are riddled with cysts—but a second doctor said it’s not PCOS.) Each of my uteri is smaller than a normal-sized one. But my menstrual cycle is like clockwork, and there are no other downsides besides high-risk pregnancy.

The doctor told me that the organs of the female reproductive system are duplicated at one point during development, but eventually the organs merge and become one. For mine to have not merged is like a mutation! I’ve thought of it like the X-Men. It’s pretty cool, IMO, because I can break the ice by telling people I have two vaginas.

I’ve read about women with uterus didelphys who have successfully become pregnant and carried almost to term, successfully delivering via C-section. I recall reading that one woman carried twins in one uterus and a single child in her other uterus simultaneously and they were all delivered successfully. [Our reader is likely referring to Hannah Kersey’s story. And here’s the story of  Sarah Reinfelder, who also had twins—one in each uterus. That occurs in one in 25,000 women with uterus didelphys, making the overall likelihood one in 50 million women.]

The doctor said that my uterus that looked more developed was on the side with the smaller vagina. It’s too small for a penis, let alone a baby to come through, so if I ever got pregnant, they would likely do a C-section. I really wanted to give birth naturally, but it would be impossible.

Though to be honest, I’d rather not try to conceive. I’ve always been extremely squeamish and quick to faint (while having blood drawn, for example). I’m honestly glad about my malformation, so I see it as a sign to not try. I would be risking my life. I’ve never been on birth control or used protection with my husband and I’ve never become pregnant. (I wonder if my hormonal imbalance may be contributing to my luck.) I’ve never tried to get pregnant and I can’t afford any other options [e.g. in vitro fertilization]. Adoption would be nice. Until then, I have animals.