The Teen With an Absent Period—and a Hidden Uterus

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Nazia, 16, had never menstruated. She was healthy, tall, and athletic. Her mother brought her in after friends started noticing.

External genitalia were normal, but there was no vaginal canal. Ultrasound confirmed a diagnosis: Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome—congenital absence of the uterus and upper vagina. We offered counseling, support groups, and when she was ready, reconstructive surgery options.

She now educates teens about reproductive differences and body diversity.


The Lesson Learned

Primary amenorrhea is never cosmetic—it demands a complete anatomical and hormonal evaluation. Sensitivity and clarity are your best tools in these life-defining moments.

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