Presurgical management of dysmenorrhea and endometriosis in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome

Elliott JE, Jason E Elliott, Abduljabar H, Hanin Abduljabar, H Abduljabar, Margaret Morris, Morris M
Fertility and sterility · 2011 · vol. 96(2) , pp. e86–e89 · doi:10.1016/j.fertnstert.2011.06.006 · PMID:21718988 · W1992518886
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This paper describes the presurgical management of dysmenorrhea and endometriosis in a patient diagnosed with Mayer-Rokitansky-Kuster-Hauser syndrome.

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Abstract

ObjectiveTo report a patient with Mayer-Rokitansky-Kuster-Hauser syndrome with functional endometrium treated with preoperative continuous combined low-dose monophasic oral contraceptives.DesignCase report.SettingUniversity hospital.Patient(s)A 12-year-old nulligravid adolescent girl.Intervention(s)Preoperative continuous combined low-dose monophasic oral contraceptives for 7 months, and laparoscopic resection of the rudimentary uterus and uterine horns with unilateral salpingo-oophorectomy.Main outcome measure(s)Relief of pain after hormonal treatment and the operative procedure.Result(s)Successful preoperative treatment of endometriosis and pain before definitive diagnosis and removal of müllerian remnants in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome.Conclusion(s)Patients with obstructive müllerian malformations with functional endometrium can be preoperatively managed with continuous combined low-dose monophasic oral contraceptives to control pain and treat endometriosis. This may permit a delay in surgical intervention to facilitate other investigations and to allow thorough counselling of the patient and her family about the implications of the diagnosis.

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Condition tags

dysmenorrheaendometriosischronic_pelvic_pain

MeSH descriptors

46, XX Disorders of Sex Development Abnormalities, Multiple Contraceptives, Oral, Combined Dysmenorrhea Endometriosis Laparoscopy Ovariectomy Salpingectomy 46, XX Disorders of Sex Development 46, XX Disorders of Sex Development 46, XX Disorders of Sex Development Abnormalities, Multiple Abnormalities, Multiple Abnormalities, Multiple Child Congenital Abnormalities Contraceptives, Oral, Combined Drug Administration Schedule Dysmenorrhea Dysmenorrhea

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Cited by (14)

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