Young females come in with primary amenorrhea with normal breast, normal pubic hair. USG reveals absent uterus and cervix with short vaginal pouch and normal ovaries. Diagnosis:
Correct Answer: Mullerian agenesis
Description: Ans. B. Mullerian agenesisMULLERIAN AGENESIS* Congenital absence of both uterus and vagina is referred as mullerian aplasia, mullerian agenesis, or Mayer- Rokitansky- Kuster-Hauser syndrome.* In classic mullerian agenesis, patients have a shallow vaginal pouch, only measuring up to 1.5 inches deep. In addition, the uterus, cervix, and upper part of the vagina are absent.* Typically, a portion of the distal fallopian tubes are present. In addition, normal ovaries are present, given their separate embryonic origin.* Most patients with mullerian agenesis have only small rudimentary mullerian bulbs without endometrial activity.* Surgical excision of symptomatic rudimentary bulbs is required. With mullerian agenesis, traditional conception is impossible, but pregnancy may be achieved using sophisticated technology involving oocyte retrieval, fertilization, and implantation into a surrogate.
Category:
Gynaecology & Obstetrics
Get More
Subject Mock Tests
Practice with over 200,000 questions from various medical subjects and improve your knowledge.
Attempt a mock test nowMock Exam
Take an exam with 100 random questions selected from all subjects to test your knowledge.
Coming SoonGet More
Subject Mock Tests
Try practicing mock tests with over 200,000 questions from various medical subjects.
Attempt a mock test now