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

Re: No Uterus/No Ovaries

From: Barb (anonymous@obgyn.net)
Sun, 28 Feb 1999 13:57:04 -0600 (CST)

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In reply to: William D. McIntosh, MD: "Re: No Uterus/No Ovaries"

At Sun, 28 Feb 1999, William D. McIntosh, MD wrote: >
>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.
>

Dr. McIntosh, Thanks for the info - I'll let you know how it goes tomorrow.

Next message: Mindy: "conception date/problems"
Previous message: Jean: "Re: Stage IV Endo Diagnosis"
In reply to: William D. McIntosh, MD: "Re: No Uterus/No Ovaries"

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