TITLE:
Mayer Rokitansky Küster Hauser Syndrome as a Cause of Infertility and Primary Amenorrhoea: A Case Report
AUTHORS:
Tidiani Traoré, Hamidou Toungara, Famakan Kané, Kassoum Sidibé, Oumar S. Coulibaly, Seydou Z. Dao, Mamadou Touré, Seydou Traoré, Brahima Donigolo, Babou Traoré, Adama Coulibaly, Abdourahamane Diarisso, Birama Traoré, Alima Sidibé, Apha Sanogo, Amadou Bocoum, Seydou Fané, Youssouf Traoré, Ibrahim Teguété, Niani Mounkoro, Amadou Dolo
KEYWORDS:
Rokitansky Syndrome, Müllerian Ducts, Uterine Agenesis
JOURNAL NAME:
Open Journal of Obstetrics and Gynecology,
Vol.14 No.12,
December
10,
2024
ABSTRACT: Mayer Rokitansky Küster Hauser (MRKH) syndrome is a rare congenital disorder that occurs during foetal development. MRKH is characterised by agenesis of the uterus and part of the vagina. Its exact aetiology is still unknown due to the complexity of the genetic pathways involved in the embryogenetic development of the Müllerian ducts. Although these women have a female phenotype and functional ovaries, they do not have menstrual cycles. We report the rare case of a 23-year-old married woman who consulted us for primary amenorrhoea and desire for pregnancy. On assessment and investigation, it was confirmed that the patient had no uterus and a poorly developed vagina. However, she had normal functioning ovaries, and no abnormalities in other organs were detected. A multidisciplinary team provided advice on the nature of the anomaly, its implications for sex life, infertility and possible child adoption alternatives.