Severe Primary Dysmenorrhea Due to Functioning Noncommunicating Rudimentary Horn

Abstract

Abstract Primary dysmenorrhea is a common symptom in the teenage population. The symptoms vary in severity and usually are well controlled by using medications containing prostaglandin synthetase inhibitors. However, the symptoms might be severe enough to interfere with quality of life and may not respond to medications. This may be due to several etiologies, including pelvic endometriosis, cervical aplasia, congenital uterine anomalies, as in cases of a functioning noncommunicating rudimentary horn, and cases of longitudinal vaginal septum obstructing part of the vagina leading to hematocolpos and hematometra. The following case presentation is a teenage patient with severe dysmenorrhea and pelvic pain due to a functioning noncommunicating rudimentary horn of the uterus. Proper evaluation and management of these cases leads to a cure of the symptomatology and avoids many complications related to the rudimentary horn. (J GYNECOL SURG 25:23)