Cervical Agenesis: Is Hysterectomy the Only Answer?

Cervical agenesis is an uncommon Mullerian anomaly with occurrence of 1 in 80, 000-1, 00, 000 births. Presentation is typically cyclic abdominal pain and primary amenorrhoea. Patients can be considered for canalisation surgeries but most of them eventually end up in hysterectomy due to recanalisation. We report here a case of cervical agenesis and the dilemmas in its management. CASE REPORT 17 years old unmarried girl presented to our OPD with primary amenorrhoea and acute abdominal pain. MRI was suggestive of lower vaginal atresia, gross hematometra, hematocolpos and hematosalpinx. Examination revealed normal secondary sexual characters and a blind ending vagina. Dilemmas in diagnosis, options of management and comparison with other national and international studies will be discussed.