Abstract
Mullerian agenesis with primary amenorrhea is a rare condition and uncommonly presented as primary subfertility. It is a complex defect in the female genital tract’s embryological development. We present a case report of a 34-year-old woman presented initially for primary subfertility management, and a systematic clinical approach such as history, examination and investigations (diagnostic laparoscopy) diagnosed Mullerian agenesis with normal development of other systems. After diagnosis, psychological counselling, vaginal dilators to improve her vaginal length and adoption were done with the multidisciplinary team approach. Community-based case study assessment and early detection of primary amenorrhea with available facilities in a low resource setting are essential elements for an early diagnosis and subsequent optimal outcomes.
Highlights
Amenorrhea defined as the absence of menses
We present a case report of a 34-year-old woman presented initially for primary subfertility management, and a systematic clinical approach such as history, examination and investigations diagnosed Mullerian agenesis with normal development of other systems
It could further be classified into primary amenorrhea and secondary amenorrhea
Summary
Amenorrhea defined as the absence of menses. It could further be classified into primary amenorrhea and secondary amenorrhea. Menstruation has not occurred by the age of 14 in the absence of secondary sexual characteris-. Mullerian agenesis is a complex malformation of female genital tract development. It is characterized by congenital absence of the upper two-thirds of the vagina and an absent or rudimentary uterus in women who have normal development of secondary sexual characteristics and a 46, XX karyotype. The disorder is relatively common in women presenting with primary amenorrhea. We present a case of primary amenorrhea, which presented with coital dysfunction and primary subfertility and further investigated and diagnosed as Mullerian agenesis
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