A case of a 26 year old nulligravid diagnosed with Mayer-Rokitansky-Kuster-Hauser Syndrome is being presented. She came to our institution for creation of a neovagina. On examination, she was noted to have a blind-ending vaginal canal measuring 2.1 centimeters in depth. Transvaginal sonography revealed absence of the uterus. Creation of a neovagina was performed using a sigmoid graft. This procedure will be compared to other techniques used for vaginal reconstruction. The etiology, clinical features, evaluation and management of Mayer-Rokitansky-Kuster-Hauser Syndrome will be discussed.
Human ; Female ; Adult ; ROKITANSKY KUSTER HAUSER SYNDROME

It remains controversial whether the day of initiation of clomiphene citrate (cc) has any impact on endometrial quality. Objective:To determine the correlation between time of administration of clomiphene citrate and its anti-estrogenic effects on endometrial thickness and endometrial pattern. Methods: Filipino women consulting at the Philippine General Hospital for difficulty in conceiving were randomized into two groups either to start CC on cycle day two or day five. Transvaginal ultrasonography was used to determine differences in endometrial thickness and endometrial pattern between the two groups. Students t-test and chi square were used for data analysis. Results: There was no difference in endometrial thickness between the two groups. There were significantly more subjects with trilaminar endometrium in the day two groups. Conclusion: Mean endometrial thickness was similar in both arms. Earlier administration, starting day two favors the development of trilaminar endometrium.
Human ; Female ; CLOMIPHENE