One In 5,000 Women In The World Are Born Without A Cervix. – Nation World News

Rokitansky syndrome (MRKHS) is a congenital disorder, that is, the person who suffers from it suffers from the female reproductive system, which according to Reproductive Systems affects 1 in 5,000 women in the world. Women with this syndrome are born without a uterus and without a cervix (the neck of the uterus). As for the vagina, depending on the degree of affection, they may be completely or partially absent.

The lack of vagina and uterus means that affected people do not have menstruation, but their ovaries are functional due to their normal production of hormones, so when puberty comes, they can develop secondary sex characteristics such as breasts, hair, etc. develop and ovulate normally.

Rokitansky syndrome usually goes unnoticed until adolescence, when girls go to the gynecologist concerned that their periods are not getting shorter. Rokitansky syndrome is usually diagnosed at age 15-18 via ultrasound or MRI, say the experts at Reproducionacistida.org.

This pathology cannot be diagnosed with a basic gynecological examination, as the external genitalia appear normal. It is necessary to perform an ultrasound scan through which the gynecologist can view the reproductive system and therefore check whether there is complete or partial absence of the vagina, cervix and/or womb. Occasionally, it is possible to observe the presence of a small vaginal sac or a very rudimentary uterus if the absence is not complete. Finally, the results should be confirmed with nuclear magnetic resonance.

At this time it is not clear what causes MRKHS, but it is known that at some point during the first 20 weeks of pregnancy, the tube called the Mllerian ducts does not develop correctly.

Normally, the lower part of these tubes becomes the uterus and vagina, and the upper part becomes the fallopian tubes. Underdevelopment of the Mllerian ducts can result in the absence of a vagina or a partially closed vagina, an absence or partial development of the uterus, or both, explain experts at the Mayo Clinic.

But the absence of menstruation is not the only symptom of MRKHS. Women suffering from this have difficult and painful intercourse in women with small vagina and inability to enter the vagina if there is no vagina.

In addition, in 1250% of cases, they suffer from bone diseases at the vertebral level, although it is believed that the extremity also affects, malformations of the kidneys such as pelvic kidney, horseshoe kidney, hydroureteronephrosis. and ureteric dimorphism, although less commonly and due to female infertility the impossibility of conceiving they do not have a uterus, despite having functional ovaries and ovulating normally.

There are different options for the treatment of Rokitansky syndrome which we can divide into two groups depending on whether it is necessary to resort to surgery or not. In any case, applying these techniques requires the adolescent female to reach sexual and emotional maturity.

A non-surgical technique that involves dilation of the vagina, which requires the woman to have a vagina, even if it is small. For example, 4 cm vagina can be converted from 8-10 cm vagina with lubrication and good compliance. Frank Dilator is the best known way to create an optimal vagina without resorting to surgery. It consists of various sized plastic tubes that help to gradually enlarge the vagina with the application of intermittent pressure. The duration of this treatment varies from six weeks to several months and its effectiveness is very high. If the use of dilators is unsuccessful or is not possible, it will be necessary to resort to surgery to create a neovagina.

Surgical Techniques: When the woman has complete absence of the vagina or the dilation is not effective, it is necessary to resort to surgery. These techniques involve creating a channel similar to the vagina between the recto-vesicle space.

McIndoe technology is currently the most widely used. This involves using a skin graft from the patient and placing it on a silicone penis-shaped prosthesis. This prosthesis with graft is molded and fixed in the vaginal tunnel by a suture. After a few days, the prosthesis is removed and dilators are used for several weeks. After about 3 months, the woman is ready to begin her sex life.

It is worth emphasizing the importance of getting the specialized psychological support that will be needed in these patients.

The absence of a uterus prevents women with this syndrome from becoming pregnant, but since their ovaries are healthy, it is possible using in-vitro fertilization techniques. Dr. Juan Carlos Castillo, a gynecologist at the Institut Bernabeu, explains that efforts are focused on resolving the absence of the uterus. And he adds: The technique most commonly used in these cases is so-called uterine surrogacy, a term that describes the transfer of an embryo to another woman with an intact uterus capable of maintaining the pregnancy. This technology is already used in some European countries, although legal requirements make it impossible to implement in Spain.

Uterine transplantation is another option for women who cannot get pregnant. So far 70 transplants have been performed in the world and this has resulted in successful birth of 20 babies. The first case occurred in 2014 at the Sahlgrenska University Hospital in Sweden and the last at the Hospital Clinic in Barcelona in 2020.

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One In 5,000 Women In The World Are Born Without A Cervix. - Nation World News

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