CLINICAL AND ECHOGRAPHIC FEATURES OF DUPLICATED RUDIMENTARY UTERI IN PATIENTS WITH MAYER-ROKITANSKIY-KÜSTER-HAUSER SYNDROME
Keywords:
primary amenorrhea, ultrasound examination, magnetic resonance imaging, functional neovaginaAbstract
Mayer–Rokitanskiy–Kustner–Hauser syndrome (MRKH) is a congenital anomaly characterized by the absence or underdevelopment of the uterus and upper part of the vagina, with a normal karyotype of 46XX and preserved ovarian function. This condition is one of the leading causes of primary amenorrhea in adolescent girls. Clinically, it manifests as the absence of menstruation, despite the normal development of secondary sexual characteristics. Diagnosis is based on ultrasound imaging, MRI scans, and clinical examination. The main focus of treatment is the creation of a functional neovagina, as well as providing psychosocial support.
20 girls with malformations of the uterus and vagina aged from 15 to 25 years were examined. All patients underwent a clinical examination, including anamnesis data, gynecological examination, ultrasound examination, and, if necessary, surgical treatment with subsequent echographic control in the postoperative period.
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