000			01692nam a22002417a 4500
999			_c7841 _d7841
001			4672
003			PILC
005			20240720152601.0
008			160505b2013 xxu||||| |||| 00| 0 eng d
040			_cFEU-NRMF MEDICAL LIBRARY
041			_aEnglish
050			_aRES OB 2013 0005
100			_aAlensuela, Anabelle, M.D.
245			_aTwo Wrongs Can Never Do One Right: Polycystic Ovarian Syndrome with Concomittant Mullerian Anomaly : A Case Report
264		0	_c2013
336			_aText
337			_aUnmediated
338			_aVolume
502			_bMEDICINE _gResearch project
520			_aThis was a case of an 18-year old nulligravida, diagnosed with Polycystic Ovarian Syndrome (PCOS) presenting with primary amenorrhea and with concomitant Mullerian Duct Anomaly Type I (vaginal agenesis). Although PCOS more commonly present with Secondary Amenorrhea, the reported percentage of Primary Amenorrhea as an initial feature in PCOS among small cohorts varied between 1.4% and 14%. Mullerian anomalies, on the other hand were reported in up to 3.2% of all women. One study, which correlated the two disease entities, concluded that an embryologic defect in the ovaries might have given rise to the non-development of the Mullerian duct thereby producing various anatomic defects of the uterus, cervix and upper part of the vagina. When presented with such a case, efforts should be made to diagnose and treat the PCOS first to minimize the development of symptoms and prevent the onset of cardiovascular and metabolic disturbances. The creation of a neovagina to address the vaginal agenesis, on the other hand, can be done later on.
887			_aRES RC RC00014
942			_2lcc _cRE