AI Article Synopsis
- Women with Mullerian agenesis, or MRKH syndrome, often experience uterine and vaginal abnormalities, but regular use of dilators can help create a functional vagina in most cases.
- Three women faced challenges with dilation therapy due to pain, leading to the discovery of hymenal anomalies.
- After surgical treatment of hymenal issues, the patients were able to continue dilation with significantly less discomfort, highlighting the need for awareness and management of hymenal anomalies in this condition.
Article Abstract
Background: Women with Mullerian agenesis, also known as Mayer-Rokitansky-Küster-Hauser syndrome (MRKH), have aplasia or hypoplasia of the uterus and vagina. Regular use of dilators can successfully create a functional vagina in up to 95% of cases. We present 3 women with Mullerian agenesis who failed dilation therapy due to pain and were subsequently found to have hymenal anomalies.
Cases: Patients presented at age 16 or 17 to initiate dilation. Initial attempts were discontinued due to pain. On examination, a septate hymen was identified in 2 patients and a microperforate hymen in 1 patient. All patients underwent hymenectomy and thereafter continued dilation with less discomfort.
Summary And Conclusion: These cases illustrate the importance of recognizing and treating hymenal anomalies in women with Mullerian agenesis to prevent pain, leading to unsuccessful dilation.
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Source |
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| http://dx.doi.org/10.1016/j.jpag.2022.07.012 | DOI Listing |
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