title: Presurgical management of dysmenorrhea and endometriosis in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome.
abstract: OBJECTIVE
  To report a patient with Mayer-Rokitansky-Kuster-Hauser syndrome with functional endometrium treated with preoperative continuous combined low-dose monophasic oral contraceptives.
  
  
  METHODS
  Case report.
  
  
  METHODS
  University hospital.
  
  
  METHODS
  A 12-year-old nulligravid adolescent girl.
  
  
  METHODS
  Preoperative continuous combined low-dose monophasic oral contraceptives for 7 months, and laparoscopic resection of the rudimentary uterus and uterine horns with unilateral salpingo-oophorectomy.
  
  
  METHODS
  Relief of pain after hormonal treatment and the operative procedure.
  
  
  RESULTS
  Successful preoperative treatment of endometriosis and pain before definitive diagnosis and removal of müllerian remnants in a patient with Mayer-Rokitansky-Kuster-Hauser syndrome.
  
  
  CONCLUSIONS
  Patients with obstructive müllerian malformations with functional endometrium can be preoperatively managed with continuous combined low-dose monophasic oral contraceptives to control pain and treat endometriosis. This may permit a delay in surgical intervention to facilitate other investigations and to allow thorough counselling of the patient and her family about the implications of the diagnosis.
authors: Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Winnipeg, Manitoba, Canada. jasoneelliott@hotmail.com
authors: Jason E
authors: JE
authors: Elliott
authors: Hanin
authors: H
authors: Abduljabar
authors: Margaret
authors: M
authors: Morris
mesh_terms: D058489:46, XX Disorders of Sex Development / Q000175:diagnosis / Q000235:genetics / Q000601:surgery*; D000015:Abnormalities, Multiple / Q000175:diagnosis / Q000235:genetics / Q000601:surgery*; D002648:Child; D000013:Congenital Abnormalities; D003277:Contraceptives, Oral, Combined / Q000008:administration & dosage*; D004334:Drug Administration Schedule; D004412:Dysmenorrhea / Q000175:diagnosis / Q000188:drug therapy* / Q000235:genetics; D004715:Endometriosis / Q000175:diagnosis / Q000188:drug therapy* / Q000235:genetics; D005260:Female; D006801:Humans; D007668:Kidney / Q000002:abnormalities; D010535:Laparoscopy; D008279:Magnetic Resonance Imaging; D009095:Mullerian Ducts / Q000002:abnormalities; D010052:Ovariectomy; D017699:Pelvic Pain / Q000188:drug therapy / Q000235:genetics; D011300:Preoperative Care; D058994:Salpingectomy; D019170:Somites / Q000002:abnormalities; D013131:Spine / Q000002:abnormalities; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color; D014599:Uterus / Q000002:abnormalities / Q000601:surgery; D014621:Vagina / Q000002:abnormalities / Q000601:surgery
chemical_list: D003277:Contraceptives, Oral, Combined