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Congenital absence of the vagina: in search of the perfect solution. When, and by what technique, should a vagina be created?

Laufer, Marc R.

Current Opinion in Obstetrics and Gynecology: October 2002 - Volume 14 - Issue 5 - p 441-444
Adult and pediatric gynecology

Purpose of review To review the Mayer-von Rokitansky-Küster-Hauser syndrome and to address means of diagnosis, patient education and counselling. The timing of, and vast options for, creation of a functional vaginal are also discussed.

Recent findings The diagnosis of Mayer-von Rokitansky-Küster-Hauser usually occurs during an evaluation of primary amenorrhea. Counselling and support are of great importance for affected young women and their families. Educational materials have increased with the availability of Internet web sites and there is a vast number of options for creation of a functional vagina; most international centers promote the utilization of vaginal dilators.

Summary Young girls, adolescents and women with Mayer-von Rokitansky-Küster-Hauser should be offered a comprehensive evaluation, and presented with information regarding all options for management and support. Ongoing psycho-social and educational support is extremely important. International centers that focus on congenital anomalies of the reproductive tract should be developed. These centers of excellence will facilitate long-term follow up studies to improve patient care and evidence based medical options.

Children's Hospital, 300 Longwood Avenue, Boston, Massachusetts, USA

Correspondence to Marc R. Laufer MD, Chief of Gynecology, Children's Hospital, 300 Longwood Avenue, Boston, MA 02115, USA. Tel: +1 617 355 5785; fax: +1 617 566 2971; e-mail:

© 2002 Lippincott Williams & Wilkins, Inc.