2009 North Ame Published by Elsev How do you counsel a patient with vaginal agenesis? The scenario is something like this. You complete your evaluation and the concerned parent says, ‘‘Does that mean my daughter will never have children?’’ Well, then we move to ‘‘she can have her own genetic child’’ through assisted reproduction-in vitro fertilization with a surrogate carrier. So what are the o...

MayerRokitanskyKusterHauser (MRKH) syndrome is a rare entity characterized by congenital aplasia of the uterus and the upper part of 2/3rd of vagina in normal karyotype females with normal development of secondary sexual characteristics. The incidence rate is about 1 in every 4500 females. We report a case series of three different patients who presented with different clinical picture to vario...

Background: The occurrence of an extra-uterine leiomyoma, arising from the intra-peritoneal portion of the round ligament in a lady with Müllerian agenesis diagnosed at the age of forty is extremely rare. We report a case of this rare combination in a Middle Eastern woman. Case: A 40 years old lady, primarily amenorrheic, presented to our clinic for an infertility consultation. The work-up show...

BACKGROUND The occurrence of an extra-uterine leiomyoma, arising from the intra-peritoneal portion of the round ligament in a lady with Müllerian agenesis diagnosed at the age of forty is extremely rare. We report a case of this rare combination in a Middle Eastern woman. CASE A 40 years old lady, primarily amenorrheic, presented to our clinic for an infertility consultation. The work- up sho...

Study objectiveUterine transplantation gives women with absolute uterine factor infertility an opportunity to conceive their biological children. To date, there are more than 15 centers worldwide offering this surgical innovation. In Malaysia, as Islamic country, surrogacy is prohibited. A small study has demonstrated that Malaysian welcome the idea of transplant. However, many were unaware ris...

Background: Gonadal dysgenesis, the most common cause of primary amenorrhea, is characterized by absent or underdeveloped ovaries. Although coexistence gonadal dysgenesis and Mayer-Rokitansky-Küster-Hauser (MRKH) has been reported, it still quite infrequent. To extent that authors searched, just one study reported association between Rokitansky sequence Dandy-Walker malformation. Clinical Prese...