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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Daughter Without Internal Genitalia, Vaginal Opening. What Would Be The Impact On Overall Health, Puberty And Growth?

Hi, we recently found out that our daughter was born without and internal genitalia at all and she also has no viginal opening. We are currently waiting on blood tests results to give us more information but I am really concerned on the impact this may have for her future. Obviously she will not be able to have her own children genetically but I am more concerned about the impacts on her overal health, puberty and growth.
Mon, 27 Aug 2012
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General & Family Physician 's  Response
Hello,
It seems you are well aware of the situation,
Since you said internal genitals absent I assume you had your girl scanned.
There are many variants of this type of illness.
Internal genitalia consist of mainly uterus and ovaries.
Uterus is where the womb develops. but ovaries is most important since it is secreting sex hormones.
If your child has no ovaries, she would not develop any secondary sexual organs like breasts, pubic hairs, broadening of hips etc. this can be treated with artificial hormone replacements.
If no uterus but with ovaries, then she cant bear any child.
Her chromosomal analysis should be done since it may also be due to loss of one X chromosome (Turner's syndrome) if it so i am afraid there may be learning difficulties, many cardiac complications and medical complications.
She may have a normal childhood. Only during puberty she may need extra attention which depends on the diagnosis.
Hope I am of some help to you
Bye
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Daughter Without Internal Genitalia, Vaginal Opening. What Would Be The Impact On Overall Health, Puberty And Growth?

Hello, It seems you are well aware of the situation, Since you said internal genitals absent I assume you had your girl scanned. There are many variants of this type of illness. Internal genitalia consist of mainly uterus and ovaries. Uterus is where the womb develops. but ovaries is most important since it is secreting sex hormones. If your child has no ovaries, she would not develop any secondary sexual organs like breasts, pubic hairs, broadening of hips etc. this can be treated with artificial hormone replacements. If no uterus but with ovaries, then she cant bear any child. Her chromosomal analysis should be done since it may also be due to loss of one X chromosome (Turner s syndrome) if it so i am afraid there may be learning difficulties, many cardiac complications and medical complications. She may have a normal childhood. Only during puberty she may need extra attention which depends on the diagnosis. Hope I am of some help to you Bye