Hi, 3 weeks ago I visited my GP to find out why I hadn't started my period yet (I'm 15). During my ultrasound they told me that they could not find my uterus OR ovaries and that there was a 99% chance that I was born without them. I've had a karyotype blood test 2 weeks ago to see if it's a hereditary thing and I'm finding out the results of that in 2 days. My first blood test showed that I have dangerously low levels of estrogen and extremely high levels of testosterone (there is a high chance that I was born with, and still have, testes. I have been told that if it is confirmed that I have no uterus or ovaries I will have to take estrogen pills for the rest of my life (apparently, the sooner I get them the better because my GP told me I'm living in a 12 year old's body).
That's the background ; my questions are; will I have a period once I start taking estrogen pills and is it strange to be born without a uterus AND ovaries?
Welcome to ehealthforum,
If there is no uterus and ovaries, you will not have periods. The symptoms and the ultrasound scan findings that you describe could indicate possibility of MRKH. MRKH stands for Mayer-Rokitansky-Kuster-Hauser Syndrome, and was named after four men who studied this birth defect. It is a congenital condition of the female reproductive system that affects approximately 1 out of every 5000 females (affecting the Mullerian ducts and structures developing from it). It is a defect when a woman is born without a uterus, cervix, and, in many cases, a vagina, and therefore cannot reproduce. There can also be kidney anomalies. Most girls who get diagnosed with MRKH have vaginal agenesis, which refers to an absent or incomplete vagina. The uterus is also very small or absent. They usually have normal ovaries and can experience puberty without having periods. MRKH is a syndrome that may or may not be associated with renal (kidney), skeletal, and hearing problems.
Since it is a syndrome, there are many degrees to this condition, so each woman with MRKH is different.
The treatment options include vaginoplasty (for absent vagina), and uterine transplants (to attempt for having children). Uterine transplants are however associated with very high morbidity (resulting in patient death most of the times).
You can discuss about the risks and benefits of the uterine transplants with your gynecologist or a plastic surgeon before you decide to go ahead with it.
If planning for pregnancy, best way to have children would be to go ahead with surrogacy (where you can have your eggs and your partner’s sperms to have baby and have it grow in a ‘womb on rent’ such that you can be the biological parents for the child) and adoption (where you are not the biological parents of the child).
Hope this helps.
"Ask a Doctor" questions are answered by certified physicians and other medical professionals.
For more information about experts participating in the "Ask a Doctor" Network, please visit our
medical experts page.
You may also visit our Womens Conditions , for moderated patient to patient support and information.
The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician.
Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.