About Video

This video shows a case study of girl presenting congenital malformations of the uterus. On the basis of history and clinical examination, the next line of management in this case study was to differentiate between androgen insensitivity syndrome and Müllerian agenesis. This is done by karyotype analysis which revealed a female pattern i.e. 46XX. Due to the absence of both uterus and vagina in this patient, it would not be possible for her to have menstrual cycles or to be fertile. It can be treated by creating an artificial vagina either through the use of Frank’s dilators or surgical procedure (McIndoe vaginoplasty). Both these procedures are undertaken at the time the marriage is planed because having regular sexual intercourse would help in maintaining the patency of newly created artificial vaginal orifice.