The Korean Journal of Internal Medicine

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Original Article
Korean J Med. 2007;72(2):266-270.
증례 : Mayer-Rokitansky-Küster-Hauser 증후군 1예
김지은
A case of Mayer-Rokitansky-Küster-Hauser syndrome
고려대학교 의과대학 내과학교실


Abstract
Mayer-Rokitansky-Küster-Hauser syndrome (Mllerian agenesis) is a rare malformative anomaly (1/5000 women) that is associated with the congenital absence of the upper vagina and uterus with normal ovaries. We report a case of a 15-year-old woman who presented with primary amenorrhea and the absence of secondary sexual development. A hormone assay revealed hypogonadotrophic hypogonadism. The karyotype was normal, 46XX. Internal genitalia could not be identified on a pelvic ultrasound. There were no other morphological malformations. Hormone substitution therapy remains the only therapeutic option. Hormone substitution is aimed at triggering the development of secondary sexual characteristics and preventing osteoporosis. The problem of infertility remains unsolved.(Korean J Med 72:S266-S270, 2007) Key Words : Mayer-Rokitansky-Küster-Hauser syndrome, Primary amenorrhea, secondary sexual development

Keywords :Mayer-Rokitansky-Kü, ster-Hauser syndrome, Primary amenorrhea, secondary sexual development
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