Fertility and sterility · 2007
Absence of endometrium as a cause of primary amenorrhea.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
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Berker Bulent, Taşkin Salih, Taşkin Elif Aylin
Аннотация
OBJECTIVE: To describe congenital endometrial absence.
DESIGN: Case report.
SETTING: University hospital.
PATIENT(S): A 32-year-old woman presented with primary amenorrhea and infertility. Hormone analysis, physical and gynecologic examinations, transvaginal ultrasonography, and karyotype analysis were normal.
INTERVENTION(S): Progesterone challenge test, laparoscopy, hysteroscopy were performed, and hysteroscopic biopsies were obtained from the uterine cavity.
MAIN OUTCOME MEASURE(S): Presence of endometrium, menstruation.
RESULT(S): The progesterone challenge test was negative. Laparoscopy revealed normal pelvic structures. Evaluation of biopsies from uterine cavity revealed absence of endometrium.
CONCLUSION(S): Endometrial absence is a differential diagnosis for primary amenorrhea; assessment of the uterine cavity and obtaining biopsy samples may help in diagnosis of suspected cases before they undergo assisted reproduction and can avoid unnecessary treatment.
DESIGN: Case report.
SETTING: University hospital.
PATIENT(S): A 32-year-old woman presented with primary amenorrhea and infertility. Hormone analysis, physical and gynecologic examinations, transvaginal ultrasonography, and karyotype analysis were normal.
INTERVENTION(S): Progesterone challenge test, laparoscopy, hysteroscopy were performed, and hysteroscopic biopsies were obtained from the uterine cavity.
MAIN OUTCOME MEASURE(S): Presence of endometrium, menstruation.
RESULT(S): The progesterone challenge test was negative. Laparoscopy revealed normal pelvic structures. Evaluation of biopsies from uterine cavity revealed absence of endometrium.
CONCLUSION(S): Endometrial absence is a differential diagnosis for primary amenorrhea; assessment of the uterine cavity and obtaining biopsy samples may help in diagnosis of suspected cases before they undergo assisted reproduction and can avoid unnecessary treatment.