A case of Mayer-Rokitansky-Küster-Hauser syndrome in a low-resource tertiary hospital in Douala, Cameroon

SAGE Open Medical Case Reports
Thomas Obinchemti EgbeRobinson Enow Mbu

Abstract

The Mayer-Rokitansky-Küster-Hauser syndrome is the congenital absence or underdevelopment of the uterus and vagina even though the external genitalia, ovaries and ovarian function are normal. This condition is uncommon in Cameroon. A 23-year-old woman of the Fulbé tribe, a predominantly Islamic tribe of the northern part of Cameroon, complained of the absence of menstruation after age of puberty and lower abdominal pain occurring almost at the same period every month. She has been married polygamously for 10 years and has been having normal, satisfactory sexual intercourse. The sonographic and laparoscopic findings of this patient were consistent with Mayer-Rokitansky-Küster-Hauser syndrome. The patient was counseled for in vitro fertilization and surrogacy. Patients with Mayer-Rokitansky-Küster-Hauser syndrome typically present with primary amenorrhea during adolescence. With the existing medical technology in Cameroon, this condition is easily accessible in tertiary healthcare facilities. Patients with Mayer-Rokitansky-Küster-Hauser syndrome could become mothers through in vitro fertilization and surrogacy, but the cost is prohibitive in Cameroon.

References

Apr 12, 2005·Reproductive Biomedicine Online·Joscph G Schenker
Aug 22, 2012·Reproductive Biology and Endocrinology : RB&E·Patricia G OppeltAndreas Mueller
Mar 19, 2014·International Journal of Gynaecology and Obstetrics : the Official Organ of the International Federation of Gynaecology and Obstetrics·Mette Haase Moen
Jul 1, 2014·American Journal of Medical Genetics. Part a·Morten HerlinMichael B Petersen
Oct 11, 2014·Lancet·Mats BrännströmLars Nilsson
Jul 28, 2016·Current Opinion in Obstetrics & Gynecology·Anne-Marie Amies OelschlagerHeather Appelbaum

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