[Primary infertility revealing a Rokitansky syndrome: a case report].

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a rare congenital malformation characterised by uterine agenesis and absence of the upper two-thirds of the vagina in phenotypically normal females with a 46,XX karyotype. We report the case of a 22-year-old woman presenting with primary infertility. Clinical examination revealed normal external genitalia with a shallow vaginal dimple. Pelvic ultrasound and MRI showed complete agenesis of the uterus and upper vagina, with normal ovaries. Hormonal evaluation confirmed preserved ovarian function, and karyotyping revealed a normal 46,XX profile. Diagnostic laparoscopy confirmed the diagnosis of type I MRKH syndrome. This case highlights the importance of considering this diagnosis in any woman with primary amenorrhea, even when revealed late in the context of infertility.