Background: Congenital uterine anomalies result from failure of or incomplete development, fusion or canalisation of one or both Mullerian ducts during foetal life. [1] These anomalies are often asymptomatic and unrecognized, until menarche or starting of reproductive life. The spectrum of uterine anomalies ranges from an arcuate uterus, uterine didelphys , unicornuate , bicornuate, t-shaped and septate uterus.[3] Pregnancy occurs in many women despite these anomalies. The complication rates with pregnancy are considerably increased; complications include intrauterine fetal growth restriction, fetal malposition, preterm labor, preterm premature rupture of membrane and malpresentation (breech) [21]. Not surprisingly, the rate of caesarean delivery is markedly higher. [4] Thus we want to conduct a systematic review to evaluate the association between the different subtypes of uterine anomaly and various clinical presentations and reproductive outcomes. This study was carried out retrospectively in 52 patients Method: that were in the age group of 12-38 years and having congenital uterine anomalies and presenting with either primary or secondary infertility / amenorrhoea, bad obstetrical history, recurrent abortions, preterm deliveries and ectopic pregnancies using consecutive sampling. All patients were evaluated and investigated further including reproductive & perinatal outcome. Data were analyzed regarding type of uterine anomalies and their reproductive performance. Results & Conclusion: Results of study shows that patients with uterine anomalies have higher rates of reproductive loss, preterm deliveries, that increase obstetric intervention and perinatal mortality.