Abstract
Müllerian duct underdevelopment results in agenesis and atresia of the vagina, cervix, or uterus, which can lead to hematometra and hematometrocolpos. Management includes vaginal-cervical serial dilation and/or surgery and menstrual suppression with endovaginal levonorgestrel intrauterine device (IUD) placement. However, these options are not feasible in vaginal agenesis because there is no external tract. This report describes the percutaneous placement of an IUD to treat hematometra due to cervicovaginal agenesis.
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