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Keywords:

  • adolescent dysmenorrhoea;
  • amenorrhoea;
  • embryology;
  • MRKH

Key content

  • Congenital anomalies of the genital tract are uncommon.
  • Embryological knowledge is essential in diagnosis and management.
  • Mayer–Rokitansky–Küster–Hauser (MRKH) syndrome is best managed in tertiary centres by a multidisciplinary team.
  • The more complex the obstructive disorder, the more specialist care is required.
  • Ultrasound imaging is usually all that is required.

Learning objectives

  • To understand the relationship between embryology and congenital abnormalities.
  • To gain ability to recognise those problems that need specialist care.
  • To understand the need for a holistic approach to care in MRKH syndrome.

Ethical issues

  • Is failure to provide a multidisciplinary holistic approach acceptable medical care?