Hymenal Anomalies Interfering with Dilation in Women with Mullerian Agenesis: A Case Series.

Fortin, C ; Pennesi, C ; et al.

In: Journal of pediatric and adolescent gynecology, Jg. 36 (2023-02-01), Heft 1, S. 86

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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.

Competing Interests: Declaration of Competing Interests The authors have no conflicts of interest.

Titel:	Hymenal Anomalies Interfering with Dilation in Women with Mullerian Agenesis: A Case Series.
Autor/in / Beteiligte Person:	Fortin, C ; Pennesi, C ; Huguelet, PS ; Quint, EH ; Scott, S ; Alaniz, VI
Link:	Zum Volltext
Zeitschrift:	Journal of pediatric and adolescent gynecology, Jg. 36 (2023-02-01), Heft 1, S. 86
Veröffentlichung:	<2001->: New York : Elsevier Science ; <i>Original Publication</i>: Philadelphia, PA : Chapman & Hall, 1996-<May 1998>, 2023
Medientyp:	report
ISSN:	1873-4332 (electronic)
DOI:	10.1016/j.jpag.2022.07.012
Schlagwort:	Humans Female Adolescent Hymen surgery Dilatation Vagina surgery Vagina abnormalities Mullerian Ducts abnormalities 46, XX Disorders of Sex Development complications 46, XX Disorders of Sex Development surgery 46, XX Disorders of Sex Development diagnosis Congenital Abnormalities diagnosis
Sonstiges:	Nachgewiesen in: MEDLINE Sprachen: English Publication Type: Case Reports Language: English [J Pediatr Adolesc Gynecol] 2023 Feb; Vol. 36 (1), pp. 86-88. <i>Date of Electronic Publication: </i>2022 Jul 30. MeSH Terms: 46, XX Disorders of Sex Development* / complications ; 46, XX Disorders of Sex Development* / surgery ; 46, XX Disorders of Sex Development* / diagnosis ; Congenital Abnormalities* / diagnosis ; Humans ; Female ; Adolescent ; Hymen / surgery ; Dilatation ; Vagina / surgery ; Vagina / abnormalities ; Mullerian Ducts / abnormalities Contributed Indexing: Keywords: Hymenal anomalies; Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome; Mullerian agenesis; Vaginal dilation SCR Disease Name: Mullerian aplasia Entry Date(s): Date Created: 20220801 Date Completed: 20230117 Latest Revision: 20230117 Update Code: 20240513

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