The symptoms of Mayer-Rokitansky-Kuster-Hauser syndrome differ from woman to woman. The individuals, affected with MRKH may not experience all range of symptoms, that’s why each should discuss her personal case with the doctor. Generally, a person with such a diagnosis has a normal hormonal development. These women will have pubertal period with secondary sexual features, such as adrenarche (pubic hair) and thelarche. Such patients will have 46 XX chromosomes. The ovaries are unharmed and ovulation, as a rule, takes place. Usually, women find out about MRKH during period of puberty, when menstruation does not occur. Some discover the disease after having some surgeries for other medical cases.

The most common symptoms for MRKH are the following:
• Women undergo puberty and experience a normal adrenarche and thelarche, without menstruation taking place (primary amenorrhea)
• Abdominal pain while having menses
• Infertility
• Painful and difficult sexual intercourse
• Problems with voiding, urinary incontinence, often urinary tract infections
• Scoliosis
• Hearing loss
• Ectopic kidney
• Renal hypoplasia
• Horseshoe kidney
• Fused kidney

As for physical features they are the following:
• Sexual secondary female characteristics are found normal after the period of puberty
• Normal height
• The development of vulva, labia minora, labia majora and clitoris are normal

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