MRKH syndrome

From WikiMD's Wellness Encyclopedia

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital (present at birth) disorder that affects the female reproductive system. Women with MRKH syndrome have normal external genitalia, but the uterus and vagina are underdeveloped or absent. The condition is also associated with abnormalities of other parts of the body.

Etiology[edit | edit source]

The exact cause of MRKH syndrome is unknown, but it appears to be a multifactorial condition, which means it likely results from a combination of genetic, environmental, and other factors. Some cases of MRKH syndrome are caused by changes in specific genes, including WNT4, HNF1B, and LHX1. However, most cases of MRKH syndrome do not have a known genetic cause.

Symptoms[edit | edit source]

The most common symptom of MRKH syndrome is primary amenorrhea, which is the absence of menstruation by age 16. Women with MRKH syndrome have normal development of secondary sexual characteristics including thelarche (breast development) and pubarche (pubic hair growth), but they do not have periods and are unable to conceive a child (infertile).

Diagnosis[edit | edit source]

Diagnosis of MRKH syndrome is usually made in adolescence when a girl fails to start having periods. A physical examination can reveal a short or absent vagina, and imaging tests such as ultrasound or MRI can show the absence of the uterus. Genetic testing can identify changes in the WNT4, HNF1B, and LHX1 genes, but these are found in only a small percentage of cases.

Treatment[edit | edit source]

There is no cure for MRKH syndrome, but treatments are available to help manage the condition. These may include dilation procedures or surgery to create a vagina, and counseling or support groups to help with the emotional aspects of the condition. Women with MRKH syndrome can have children through assisted reproductive techniques such as in vitro fertilization (IVF) and surrogacy.

See also[edit | edit source]



NIH genetic and rare disease info[edit source]

MRKH syndrome is a rare disease.

MRKH syndrome Resources
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Contributors: Prab R. Tumpati, MD