WOMENS-HEALTH Messages for February, 1999: Re: No Uterus/No Ovaries

Re: No Uterus/No Ovaries

From: William D. McIntosh, MD (anonymous@obgyn.net)
Sun, 28 Feb 1999 10:24:14 -0600 (CST)

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Reply: Barb: "Re: No Uterus/No Ovaries"

At Sat, 27 Feb 1999, Barb wrote: >
>My 16 year old daughter has not started her period yet. She started
>developing breasts and getting pubic hair at age 9. She has been
>examined by a nurse practioner who states she has a small vaginal
>opening. An ultrasound yesterday shows no obvious uterus or ovaries
>(according to the tech). Blood work has been done to check hormones (no
>results yet). We will see a gyn on Monday. Any information on this
>disorder would be appreciated. If she in fact, does not have a uterus
>or ovaries - I am especially curious about hormone replacement since we
>have a history of early heart disease in our family. Also, if she does
>not have a vaginal opening, how will this affect her when having
>intercourse? Is there some sort of reconstructive surgery? I want to
>make sure I ask the right questions when I talk to the doctor. I'm an
>RN but have not worked with gyn patients since nursing school and never
>with anyone with this condition. All the info I can get will be
>appreciated.

There are a number of possibilities in the differential, but the most important questions boil down to just 2. Is there really and truly no uterus or ovaries, and if there are not, then what is your daughter's karyotype (chromosomes, like with an amniocentesis). Once these questions are answered, then the other concerns, such as recontructive surgery, hormone replacement, and so on begin to fall into place. Since she does have at least some vaginal opening, she is unlikely to need reconstructive surgery, though she may have to perform some dilation exercises in order to have enough vagina for intercourse. Good luck. If you would like, I would appreciate any additional information that you might care to give as the info becomes available. This is a rare problem, and you would be contributing to my knowledge base.

-- William D. McIntosh, MD Clarksville, TN

This is for educational purposes only. It is not intended to replace consultation and examination by your physician or other health care provider.

Next message: kooleii: "2 ectopics==looking for answers from docs and others experiences"
Previous message: William D. McIntosh, MD: "Re: Will using both the Premarin pill and cream affect me?"
In reply to: Barb: "No Uterus/No Ovaries"
Next in thread: Barb: "Re: No Uterus/No Ovaries"
Reply: Barb: "Re: No Uterus/No Ovaries"

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