from reportlab.lib import colors
from reportlab.lib.pagesizes import letter, landscape
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.enums import TA_CENTER, TA_LEFT
from reportlab.lib.units import inch
from reportlab.platypus import SimpleDocTemplate, Table, TableStyle, Paragraph

out = '/tmp/workspace/mullerian-reference/output/Mullerian_Malformations_Fertility_Perinatal_Reference.pdf'
margin = 0.32 * inch
doc = SimpleDocTemplate(out, pagesize=landscape(letter), leftMargin=margin, rightMargin=margin, topMargin=0.28*inch, bottomMargin=0.28*inch)
styles = getSampleStyleSheet()
title = ParagraphStyle('Title', parent=styles['Title'], fontName='Helvetica-Bold', fontSize=15, leading=17, alignment=TA_CENTER, textColor=colors.HexColor('#17365D'), spaceAfter=3)
sub = ParagraphStyle('Sub', parent=styles['Normal'], fontName='Helvetica', fontSize=7.4, leading=9, alignment=TA_CENTER, textColor=colors.HexColor('#404040'), spaceAfter=7)
head = ParagraphStyle('Head', parent=styles['Normal'], fontName='Helvetica-Bold', fontSize=7.4, leading=8.5, textColor=colors.white, alignment=TA_CENTER)
cell = ParagraphStyle('Cell', parent=styles['Normal'], fontName='Helvetica', fontSize=6.9, leading=8.1, alignment=TA_LEFT)
cell_bold = ParagraphStyle('CellBold', parent=cell, fontName='Helvetica-Bold')
foot = ParagraphStyle('Foot', parent=styles['Normal'], fontName='Helvetica-Oblique', fontSize=6.1, leading=7.3, textColor=colors.HexColor('#444444'), spaceBefore=5)
P = lambda s, st=cell: Paragraph(s, st)

data = [
 [P('Malformation', head), P('Fertility', head), P('Pregnancy and perinatal outcome', head)],
 [P('Müllerian agenesis / MRKH', cell_bold), P('No capacity to carry pregnancy; ovarian function usually preserved. Genetic parenthood possible via IVF with gestational carrier.'), P('No intrauterine pregnancy outcome because there is no functional uterus.')],
 [P('Unicornuate uterus<br/>± rudimentary horn', cell_bold), P('Conception possible, but lower live-birth rates in some studies; avoid multifetal gestation where feasible.'), P('↑ Miscarriage, ectopic/rudimentary-horn pregnancy, growth restriction, malpresentation, preterm birth and cesarean. Rudimentary-horn pregnancy can rupture.')],
 [P('Uterus didelphys', cell_bold), P('Usually little effect on ability to conceive.'), P('↑ Preterm birth, malpresentation, low birth weight and cesarean; cervical insufficiency may contribute. Term birth remains possible.')],
 [P('Bicornuate uterus', cell_bold), P('Conception often preserved; infertility is not the main association.'), P('↑ First/second-trimester loss, PPROM/preterm birth, malpresentation, fetal growth restriction and cesarean.')],
 [P('Septate uterus<br/>partial or complete', cell_bold), P('Strong association with recurrent pregnancy loss; infertility effect less clear.'), P('↑ Early loss, later loss, preterm birth, malpresentation, growth restriction and cesarean. Selected recurrent-loss patients may benefit from hysteroscopic septum incision.')],
 [P('Arcuate uterus', cell_bold), P('Typically no important fertility effect.'), P('Usually a mild variant: live-birth outcomes generally comparable with a normal uterus. Data on preterm birth are inconsistent.')],
 [P('T-shaped / dysmorphic uterus', cell_bold), P('May impair implantation and be associated with infertility or recurrent loss.'), P('↑ Miscarriage, cervical insufficiency and preterm birth; definitions and evidence vary.')],
 [P('Vaginal/cervical anomalies<br/>(longitudinal or transverse vaginal septum, cervical dysgenesis)', cell_bold), P('Effect ranges from none to marked impairment if obstruction or absent/dysgenetic cervix is present.'), P('Isolated longitudinal septum usually has no direct fetal effect but may obstruct delivery. Severe cervical anomalies carry high loss/preterm/delivery risk.')],
]

table = Table(data, colWidths=[1.55*inch, 2.45*inch, 5.95*inch], repeatRows=1, hAlign='CENTER')
table.setStyle(TableStyle([
 ('BACKGROUND', (0,0), (-1,0), colors.HexColor('#1F4E78')),
 ('TEXTCOLOR', (0,0), (-1,0), colors.white),
 ('VALIGN', (0,0), (-1,-1), 'MIDDLE'),
 ('GRID', (0,0), (-1,-1), 0.32, colors.HexColor('#B7C9D6')),
 ('ROWBACKGROUNDS', (0,1), (-1,-1), [colors.white, colors.HexColor('#EEF5F9')]),
 ('LEFTPADDING', (0,0), (-1,-1), 5), ('RIGHTPADDING', (0,0), (-1,-1), 5),
 ('TOPPADDING', (0,0), (-1,-1), 3.6), ('BOTTOMPADDING', (0,0), (-1,-1), 3.6),
]))
story = [
 Paragraph('Müllerian Malformations: Fertility and Perinatal Outcome', title),
 Paragraph('Quick clinical reference. Risks are relative to a normal uterus and vary with anatomy, cervical involvement, and prior obstetric history.', sub),
 table,
 Paragraph('<b>Key points:</b> Uterine anomalies more often affect pregnancy maintenance and obstetric outcome than conception. Confirm anatomy with 3D ultrasound (MRI when needed) and assess for associated renal anomalies. This table is educational and not a substitute for individualized maternal-fetal medicine or reproductive endocrinology care.', foot),
 Paragraph('<b>Sources:</b> Berek & Novak’s Gynecology, “Congenital Anomalies of the Uterus,” pp. 2886-2890; Creasy & Resnik’s Maternal-Fetal Medicine, “Uterine Abnormalities,” p. 4437; ASRM Müllerian Anomalies Classification 2021; Fedele et al. systematic review, 2024, PMID 39227392.', foot),
]
doc.build(story)
print(out)

from reportlab.lib import colors
from reportlab.lib.pagesizes import letter, landscape
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.enums import TA_CENTER, TA_LEFT
from reportlab.lib.units import inch
from reportlab.platypus import SimpleDocTemplate, Table, TableStyle, Paragraph, PageBreak, Spacer

out = '/tmp/workspace/mullerian-reference/output/Mullerian_Malformations_Fertility_Perinatal_Reference.pdf'
page = landscape(letter)
margin = 0.32 * inch
doc = SimpleDocTemplate(out, pagesize=page, leftMargin=margin, rightMargin=margin, topMargin=0.28*inch, bottomMargin=0.28*inch)
styles = getSampleStyleSheet()
title = ParagraphStyle('Title', parent=styles['Title'], fontName='Helvetica-Bold', fontSize=15, leading=17, alignment=TA_CENTER, textColor=colors.HexColor('#17365D'), spaceAfter=3)
sub = ParagraphStyle('Sub', parent=styles['Normal'], fontName='Helvetica', fontSize=7.4, leading=9, alignment=TA_CENTER, textColor=colors.HexColor('#404040'), spaceAfter=7)
head = ParagraphStyle('Head', parent=styles['Normal'], fontName='Helvetica-Bold', fontSize=7.4, leading=8.5, textColor=colors.white, alignment=TA_CENTER)
cell = ParagraphStyle('Cell', parent=styles['Normal'], fontName='Helvetica', fontSize=6.9, leading=8.1, alignment=TA_LEFT)
cellbold = ParagraphStyle('CellBold', parent=cell, fontName='Helvetica-Bold')
small = ParagraphStyle('Small', parent=styles['Normal'], fontName='Helvetica', fontSize=6.6, leading=7.8, alignment=TA_LEFT)
smallbold = ParagraphStyle('SmallBold', parent=small, fontName='Helvetica-Bold')
foot = ParagraphStyle('Foot', parent=styles['Normal'], fontName='Helvetica-Oblique', fontSize=6.1, leading=7.3, textColor=colors.HexColor('#444444'), spaceBefore=5)
P=lambda x, st=cell: Paragraph(x,st)

def styled_table(data,widths, font=cell):
    t=Table(data,colWidths=widths,repeatRows=1,hAlign='CENTER')
    t.setStyle(TableStyle([
      ('BACKGROUND',(0,0),(-1,0),colors.HexColor('#1F4E78')),('TEXTCOLOR',(0,0),(-1,0),colors.white),
      ('VALIGN',(0,0),(-1,-1),'MIDDLE'),('GRID',(0,0),(-1,-1),0.32,colors.HexColor('#B7C9D6')),
      ('ROWBACKGROUNDS',(0,1),(-1,-1),[colors.white,colors.HexColor('#EEF5F9')]),
      ('LEFTPADDING',(0,0),(-1,-1),5),('RIGHTPADDING',(0,0),(-1,-1),5),('TOPPADDING',(0,0),(-1,-1),3.3),('BOTTOMPADDING',(0,0),(-1,-1),3.3),
    ]))
    return t

page1=[
 [P('Malformation',head),P('Fertility',head),P('Pregnancy and perinatal outcome',head)],
 [P('Müllerian agenesis / MRKH',cellbold),P('No capacity to carry pregnancy; ovarian function usually preserved. Genetic parenthood possible via IVF with gestational carrier.'),P('No intrauterine pregnancy outcome because there is no functional uterus.')],
 [P('Unicornuate uterus<br/>± rudimentary horn',cellbold),P('Conception possible, but lower live-birth rates in some studies; avoid multifetal gestation where feasible.'),P('↑ Miscarriage, ectopic/rudimentary-horn pregnancy, growth restriction, malpresentation, preterm birth and cesarean. Rudimentary-horn pregnancy can rupture.')],
 [P('Uterus didelphys',cellbold),P('Usually little effect on ability to conceive.'),P('↑ Preterm birth, malpresentation, low birth weight and cesarean; cervical insufficiency may contribute. Term birth remains possible.')],
 [P('Bicornuate uterus',cellbold),P('Conception often preserved; infertility is not the main association.'),P('↑ First/second-trimester loss, PPROM/preterm birth, malpresentation, fetal growth restriction and cesarean.')],
 [P('Septate uterus<br/>partial or complete',cellbold),P('Strong association with recurrent pregnancy loss; infertility effect less clear.'),P('↑ Early loss, later loss, preterm birth, malpresentation, growth restriction and cesarean. Selected recurrent-loss patients may benefit from hysteroscopic septum incision.')],
 [P('Arcuate uterus',cellbold),P('Typically no important fertility effect.'),P('Usually a mild variant: live-birth outcomes generally comparable with a normal uterus. Data on preterm birth are inconsistent.')],
 [P('T-shaped / dysmorphic uterus',cellbold),P('May impair implantation and be associated with infertility or recurrent loss.'),P('↑ Miscarriage, cervical insufficiency and preterm birth; definitions and evidence vary.')],
 [P('Vaginal/cervical anomalies',cellbold),P('Effect ranges from none to marked impairment if obstruction or absent/dysgenetic cervix is present.'),P('Isolated longitudinal septum usually has no direct fetal effect but may obstruct delivery. Severe cervical anomalies carry high loss/preterm/delivery risk.')],
]

imaging=[
 [P('Clinical question',head),P('Preferred assessment and key interpretation',head)],
 [P('Initial anatomic definition',smallbold),P('<b>3D transvaginal ultrasound</b> is a noninvasive, reliable first-line method when available. It evaluates the cavity and external fundal contour, which is required to distinguish septate from bicornuate uterus.',small)],
 [P('Equivocal, complex, or vaginal/cervical anomaly',smallbold),P('<b>Pelvic MRI</b> maps uterine, cervical, vaginal and associated structures. Use when 3D ultrasound is unavailable or anatomy remains uncertain.',small)],
 [P('Cavity detail / intracavitary lesion',smallbold),P('<b>Saline infusion sonohysterography</b> or <b>hysteroscopy</b> helps assess subtle cavity lesions and a septum. Hysteroscopy alone cannot define the external uterine contour.',small)],
 [P('Renal tract assessment',smallbold),P('Obtain renal imaging after diagnosis of a Müllerian anomaly because urinary tract anomalies can coexist, especially with unilateral/obstructive anomalies.',small)],
 [P('Pregnancy imaging',smallbold),P('Early ultrasound: confirm implantation site and exclude rudimentary-horn pregnancy. Later: assess cervical length when history/anatomy suggests risk and monitor fetal growth/presentation according to risk profile.',small)],
]
manage=[
 [P('Situation',head),P('Management notes',head)],
 [P('Asymptomatic arcuate / most incidental anomalies',smallbold),P('Usually expectant management and individualized counseling. Do not operate solely to improve fertility without a clear indication.',small)],
 [P('Septate uterus + recurrent pregnancy loss',smallbold),P('Discuss hysteroscopic septum incision using shared decision-making. Evidence supports reduced subsequent loss in selected patients, but certainty is limited and benefit for infertility alone is unclear.',small)],
 [P('Bicornuate or didelphys uterus',smallbold),P('Corrective surgery is generally not routine. In pregnancy, counsel about preterm birth and malpresentation; arrange obstetric surveillance based on prior history and findings.',small)],
 [P('Functional rudimentary horn',smallbold),P('Refer to gynecologic surgery. Excision is generally recommended because horn pregnancy carries a major rupture risk.',small)],
 [P('Obstructed hemivagina / transverse septum',smallbold),P('Specialist evaluation and correction of obstruction when indicated to relieve symptoms and limit hematometra, endometriosis, or infection. Plan delivery route individually.',small)],
 [P('MRKH / uterine agenesis',smallbold),P('Provide multidisciplinary counseling, vaginal-function support when desired, and fertility counseling. Genetic parenthood may be possible through IVF with a gestational carrier, subject to local law and access.',small)],
 [P('During pregnancy',smallbold),P('Maternal-fetal medicine input is appropriate for prior loss/preterm birth, significant cervical involvement, rudimentary-horn history, or complex anatomy. Manage threatened preterm birth, cerclage decisions, and delivery timing by standard obstetric indications plus individualized anatomy.',small)],
]
story=[Paragraph('Müllerian Malformations: Fertility and Perinatal Outcome',title),Paragraph('Quick clinical reference. Risks are relative to a normal uterus and vary with anatomy, cervical involvement, and prior obstetric history.',sub),styled_table(page1,[1.55*inch,2.45*inch,5.95*inch]),Paragraph('<b>Key points:</b> Uterine anomalies more often affect pregnancy maintenance and obstetric outcome than conception. This table is educational and not a substitute for individualized maternal-fetal medicine or reproductive endocrinology care.',foot),Paragraph('<b>Sources:</b> Berek & Novak’s Gynecology, “Congenital Anomalies of the Uterus,” pp. 2886-2890; Creasy & Resnik’s Maternal-Fetal Medicine, “Uterine Abnormalities,” p. 4437; ASRM Müllerian Anomalies Classification 2021; Fedele et al., 2024, PMID 39227392.',foot),PageBreak(),Paragraph('Müllerian Malformations: Diagnostic Imaging and Management Notes',title),Paragraph('Use imaging to define cavity, external contour, cervix and vagina before selecting treatment. Management should be based on symptoms, reproductive history, and precise anatomy.',sub),styled_table(imaging,[2.05*inch,7.9*inch]),Spacer(1,7),styled_table(manage,[2.05*inch,7.9*inch]),Paragraph('<b>Practice note:</b> Most patients with a uterine anomaly can have a successful pregnancy. Surgical intervention is anomaly-specific and should not be assumed to improve fertility or obstetric outcomes in every case.',foot),Paragraph('<b>Sources:</b> Creasy & Resnik’s Maternal-Fetal Medicine, “Congenital Müllerian Anomalies,” pp. 1284-1288; Berek & Novak’s Gynecology, “Congenital Anomalies of the Uterus,” pp. 2886-2890; ASRM, Evidence-based diagnosis and treatment for uterine septum (2024).',foot)]
doc.build(story)
print(out)

from reportlab.lib import colors
from reportlab.lib.pagesizes import letter, landscape
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.enums import TA_CENTER, TA_LEFT
from reportlab.lib.units import inch
from reportlab.platypus import SimpleDocTemplate, Table, TableStyle, Paragraph, PageBreak, Spacer

out = '/tmp/workspace/mullerian-reference/output/Mullerian_Malformations_Fertility_Perinatal_Reference.pdf'
margin = 0.32 * inch
doc = SimpleDocTemplate(out, pagesize=landscape(letter), leftMargin=margin, rightMargin=margin, topMargin=0.28*inch, bottomMargin=0.28*inch)
styles = getSampleStyleSheet()
title = ParagraphStyle('Title', parent=styles['Title'], fontName='Helvetica-Bold', fontSize=15, leading=17, alignment=TA_CENTER, textColor=colors.HexColor('#17365D'), spaceAfter=3)
sub = ParagraphStyle('Sub', parent=styles['Normal'], fontName='Helvetica', fontSize=7.4, leading=9, alignment=TA_CENTER, textColor=colors.HexColor('#404040'), spaceAfter=7)
head = ParagraphStyle('Head', parent=styles['Normal'], fontName='Helvetica-Bold', fontSize=7.4, leading=8.5, textColor=colors.white, alignment=TA_CENTER)
cell = ParagraphStyle('Cell', parent=styles['Normal'], fontName='Helvetica', fontSize=6.9, leading=8.1, alignment=TA_LEFT)
cellbold = ParagraphStyle('CellBold', parent=cell, fontName='Helvetica-Bold')
small = ParagraphStyle('Small', parent=styles['Normal'], fontName='Helvetica', fontSize=6.6, leading=7.8, alignment=TA_LEFT)
smallbold = ParagraphStyle('SmallBold', parent=small, fontName='Helvetica-Bold')
foot = ParagraphStyle('Foot', parent=styles['Normal'], fontName='Helvetica-Oblique', fontSize=6.1, leading=7.3, textColor=colors.HexColor('#444444'), spaceBefore=5)
P=lambda x, st=cell: Paragraph(x,st)

def styled_table(data,widths):
    t=Table(data,colWidths=widths,repeatRows=1,hAlign='CENTER')
    t.setStyle(TableStyle([('BACKGROUND',(0,0),(-1,0),colors.HexColor('#1F4E78')),('TEXTCOLOR',(0,0),(-1,0),colors.white),('VALIGN',(0,0),(-1,-1),'MIDDLE'),('GRID',(0,0),(-1,-1),0.32,colors.HexColor('#B7C9D6')),('ROWBACKGROUNDS',(0,1),(-1,-1),[colors.white,colors.HexColor('#EEF5F9')]),('LEFTPADDING',(0,0),(-1,-1),5),('RIGHTPADDING',(0,0),(-1,-1),5),('TOPPADDING',(0,0),(-1,-1),3.3),('BOTTOMPADDING',(0,0),(-1,-1),3.3)]))
    return t

page1=[[P('Malformation',head),P('Fertility',head),P('Pregnancy and perinatal outcome',head)],
[P('Müllerian agenesis / MRKH',cellbold),P('No capacity to carry pregnancy; ovarian function usually preserved. Genetic parenthood possible via IVF with gestational carrier.'),P('No intrauterine pregnancy outcome because there is no functional uterus.')],
[P('Unicornuate uterus<br/>± rudimentary horn',cellbold),P('Conception possible, but lower live-birth rates in some studies; avoid multifetal gestation where feasible.'),P('↑ Miscarriage, ectopic/rudimentary-horn pregnancy, growth restriction, malpresentation, preterm birth and cesarean. Rudimentary-horn pregnancy can rupture.')],
[P('Uterus didelphys',cellbold),P('Usually little effect on ability to conceive.'),P('↑ Preterm birth, malpresentation, low birth weight and cesarean; cervical insufficiency may contribute. Term birth remains possible.')],
[P('Bicornuate uterus',cellbold),P('Conception often preserved; infertility is not the main association.'),P('↑ First/second-trimester loss, PPROM/preterm birth, malpresentation, fetal growth restriction and cesarean.')],
[P('Septate uterus<br/>partial or complete',cellbold),P('Strong association with recurrent pregnancy loss; infertility effect less clear.'),P('↑ Early loss, later loss, preterm birth, malpresentation, growth restriction and cesarean. Selected recurrent-loss patients may benefit from hysteroscopic septum incision.')],
[P('Arcuate uterus',cellbold),P('Typically no important fertility effect.'),P('Usually a mild variant: live-birth outcomes generally comparable with a normal uterus. Data on preterm birth are inconsistent.')],
[P('T-shaped / dysmorphic uterus',cellbold),P('May impair implantation and be associated with infertility or recurrent loss.'),P('↑ Miscarriage, cervical insufficiency and preterm birth; definitions and evidence vary.')],
[P('Vaginal/cervical anomalies',cellbold),P('Effect ranges from none to marked impairment if obstruction or absent/dysgenetic cervix is present.'),P('Isolated longitudinal septum usually has no direct fetal effect but may obstruct delivery. Severe cervical anomalies carry high loss/preterm/delivery risk.')]]

imaging=[[P('Clinical question',head),P('Preferred assessment and key interpretation',head)],
[P('Initial anatomic definition',smallbold),P('<b>3D transvaginal ultrasound</b> is a noninvasive, reliable first-line method when available. It evaluates the cavity and external fundal contour, required to distinguish septate from bicornuate uterus.',small)],
[P('Equivocal or complex anatomy',smallbold),P('<b>Pelvic MRI</b> maps uterine, cervical, vaginal and associated structures. Use when 3D ultrasound is unavailable or anatomy remains uncertain.',small)],
[P('Cavity detail',smallbold),P('<b>Saline infusion sonohysterography</b> or <b>hysteroscopy</b> helps assess subtle cavity lesions and a septum. Hysteroscopy alone cannot define the external uterine contour.',small)],
[P('Renal tract assessment',smallbold),P('Obtain renal imaging after diagnosis because urinary tract anomalies can coexist, especially with unilateral or obstructive anomalies.',small)],
[P('Pregnancy imaging',smallbold),P('Early ultrasound: confirm implantation site and exclude rudimentary-horn pregnancy. Later: assess cervical length when history/anatomy suggests risk; monitor fetal growth and presentation according to risk profile.',small)]]
manage=[[P('Situation',head),P('Management notes',head)],
[P('Asymptomatic arcuate / most incidental anomalies',smallbold),P('Usually expectant management and individualized counseling. Do not operate solely to improve fertility without a clear indication.',small)],
[P('Septate uterus + recurrent pregnancy loss',smallbold),P('Discuss hysteroscopic septum incision using shared decision-making. Evidence supports reducing subsequent loss in selected patients, but certainty is limited and benefit for infertility alone is unclear.',small)],
[P('Bicornuate or didelphys uterus',smallbold),P('Corrective surgery is generally not routine. In pregnancy, counsel about preterm birth and malpresentation; arrange surveillance based on prior history and findings.',small)],
[P('Functional rudimentary horn',smallbold),P('Refer to gynecologic surgery. Excision is generally recommended because horn pregnancy carries a major rupture risk.',small)],
[P('Obstructed hemivagina / transverse septum',smallbold),P('Specialist evaluation and correction of obstruction when indicated to relieve symptoms and limit hematometra, endometriosis, or infection. Plan delivery route individually.',small)],
[P('MRKH / uterine agenesis',smallbold),P('Provide multidisciplinary counseling, vaginal-function support when desired, and fertility counseling. Genetic parenthood may be possible through IVF with a gestational carrier, subject to local law and access.',small)],
[P('During pregnancy',smallbold),P('Maternal-fetal medicine input is appropriate for prior loss/preterm birth, major cervical involvement, rudimentary-horn history, or complex anatomy. Make cerclage, preterm-birth and delivery decisions individually.',small)]]

story=[Paragraph('Müllerian Malformations: Fertility and Perinatal Outcome',title),Paragraph('Quick clinical reference. Risks are relative to a normal uterus and vary with anatomy, cervical involvement, and prior obstetric history.',sub),styled_table(page1,[1.55*inch,2.45*inch,5.95*inch]),Paragraph('<b>Key points:</b> Uterine anomalies more often affect pregnancy maintenance and obstetric outcome than conception. This table is educational and not a substitute for individualized specialist care.',foot),Paragraph('<b>Sources:</b> Berek & Novak’s Gynecology, “Congenital Anomalies of the Uterus,” pp. 2886-2890; Creasy & Resnik’s Maternal-Fetal Medicine, “Uterine Abnormalities,” p. 4437; ASRM Müllerian Anomalies Classification 2021; Fedele et al., 2024, PMID 39227392.',foot),PageBreak(),Paragraph('Müllerian Malformations: Diagnostic Imaging and Management Notes',title),Paragraph('Define the cavity, external contour, cervix and vagina before choosing treatment. Management depends on symptoms, reproductive history, and precise anatomy.',sub),styled_table(imaging,[2.05*inch,7.9*inch]),Spacer(1,7),styled_table(manage,[2.05*inch,7.9*inch]),Paragraph('<b>Practice note:</b> Most patients with a uterine anomaly can have a successful pregnancy. Surgical intervention is anomaly-specific and should not be assumed to improve fertility or obstetric outcomes in every case.',foot),Paragraph('<b>Sources:</b> Creasy & Resnik’s Maternal-Fetal Medicine, “Congenital Müllerian Anomalies,” pp. 1284-1288; Berek & Novak’s Gynecology, “Congenital Anomalies of the Uterus,” pp. 2886-2890; ASRM, Evidence-based diagnosis and treatment for uterine septum (2024).',foot)]
doc.build(story)
print(out)