HomeAnswersObstetrics and Gynecologymullerian duct anomaliesI have never had menstruation, and my ultrasound suggests I do not have a uterus. What to do?

Can someone without a uterus menstruate?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Answered by

Dr. Uzma Arqam

Medically reviewed by

iCliniq medical review team

Published At November 28, 2022
Reviewed AtNovember 29, 2022

Patient's Query

Hello doctor,

My friend consulted a specialist who said my uterus was not visible in the ultrasound. I have not experienced menstruation.

Please help me.

Answered by Dr. Uzma Arqam

Hello,

Welcome to icliniq.com.

I went through your query and understood your concern.

It seems you are suffering from primary amenorrhea (absence of menstruation) with the absence of a uterus in the ultrasound. Mayer Rokitansky Kuster Hauser syndrome or Mullerian agenesis is a female condition with the absence of the uterus, fallopian tubes, and proximal vagina with normal external genitals causing amenorrhea. Other syndromes like androgen insensitivity syndrome, congenital adrenal hyperplasia, Turners Syndrome, mosaicism, obstructive anomalies like an imperforated hymen, vaginal or cervical atresia, and transverse vaginal septum can cause hematocolpos (retention of menstrual blood in the vagina at puberty).

So, I suggest you to follow the instructions mentioned below,

1. Undergo blood investigations like serum testosterone, serum LH (luteinizing hormone), karyotype, detailed ultrasound, and MRI (magnetic resonance imaging) to rule out other disorders and anomalies.

2. Get a detailed clinical examination done by a senior gynecologist.

3. Get a detailed examination of renal, cardiovascular, tracheal, esophageal, skeletal, muscular, and limb defects to confirm the diagnosis.

4. Contact peer support groups for psychosocial support.

In the case of confirmed Mullerian Agenesis, the elongation of the vagina is usually considered. In obstructive cases, minor surgery or correction is required. If androgen insensitivity syndrome is confirmed, you will require a male hormonal treatment therapy for several months followed by the circumcision of a newly developed penis as the patient born is male but without the presence of male hormones. Congenital adrenal hyperplasia is characterized by a lack of hormones and is also treated with hormones if the diagnosis is confirmed.

I hope this has helped you.

Thanks and regards.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Uzma Arqam
Dr. Uzma Arqam

Obstetrics and Gynecology

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