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Laparoscopic management of mullerian remnants in a patient with mixed gonadal dysgenesis: a case report.

Author

Florely Joy E. Gregorio,
Anna Belen I. Alensuela

Related Institution

Section of Reproductive Endocrinology and Infertility - Consortium of FEU-NRMF Medical Center and Jose R. Reyes Memorial Medical Center - Far Eastern University

Publication Information

Publication Type
Journal
Publication Sub Type
Case report
Title
Philippine Journal of Reproductive Endocrinology and Infertility
Frequency
Semi-Annual
Publication Date
July-December 2015
Volume
12
Issue
2
Page(s)
73-89

Abstract

Androgen insensitivity syndrome is a rare X-linked recessive androgen receptor defect seen in 1-5 of 100,000. It occurs in phenotypically normal women with adequate breast development, normal external genitalia, a vaginal of variable depth, absent uterus, and sparse or absent pubic hair and axillary hair. These patients have male karyotype (XY) and the gonads may be intra-abdominal, inguinal, or labial. This is a case of a 25-year old phenotypic female with primary amenorrhea, bilateral inguinal masses and a 46, XY karyotype. Following the diagnosis of complete androgen insensitivity syndrome, a multidisciplinary team, with the gynecologist as the primary physician, was formed. She underwent bilateral gonadectomy and was given continuous estrogen therapy and calcium supplementation. Pre-operative and post-operative supportive psychotherapy and continuous psychosocial support from her family and online AIS support groups played a major role in the positive adaptation of the patient. 

References

1. Lipana MR, , Tanangonan GG, . "Beyond the Xs and Ys: A case of complete androgen insensitivity syndrome" Philippine Journal of Reproductive Endocrinology and Infertility 6, 1-9, 2009

Physical Location

LocationLocation CodeAvailable FormatAvailability
Philippine Society of Reproductive Medicine 02 9209565 Abstract (Download)

 
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