Depending on your age, your Mayo Clinic pediatrician or gynecologist diagnoses your condition based on your medical history and a physical exam. Vaginal agenesis diagnosis can happen at different times in your life, for instance:
- As a baby, if your parents or doctor discover that you have no vaginal or anal opening
- As a young girl, during an examination for a suspected kidney problem
- During puberty, when your menstrual periods don't start even after you've developed breasts and have underarm and pubic hair
To determine your treatment options, your doctor may recommend other testing, including:
- Blood tests. Your doctor may order blood tests to assess your chromosomes and measure your hormone levels, which can confirm your diagnosis and rule out other conditions.
- Ultrasound. The ultrasound image shows your doctor whether you have a uterus and ovaries and where your kidneys are located.
- Magnetic resonance imaging (MRI). An MRI gives your doctor a detailed picture of your reproductive tract and kidneys.
Read more about ultrasound and MRI.
April 16, 2014
- Laufer MR. Diagnosis and management of congenital anomalies of the vagina. http://www.uptodate.com/home. Accessed Dec. 3, 2013.
- Raziel A, et al. Surrogate in vitro fertilization outcome in typical and atypical forms of Mayer-Rokitansky-Kuster-Hauser syndrome. Human Reproduction. 2012;27:126.
- American College of Obstetricians and Gynecologists Committee on Adolescent Health Care. Committee Opinion No. 562: Müllerian agenesis — Diagnosis, management and treatment. Obstetrics & Gynecology. 2013;121:1134.
- Morcel K, et al. Sexual and functional results after creation of a neovagina in women with Mayer-Rokitansky-Kuster-Hauser syndrome: A comparison of nonsurgical and surgical procedures. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2013;169:317.
- Kliegman RM, et al. Nelson Textbook of Pediatrics. 19th ed. Philadelphia, Pa.: Saunders Elsevier; 2011. http://www.clinicalkey.com. Accessed Dec. 4, 2013.
- Baggish MS, et al. Atlas of Pelvic Anatomy and Gynecologic Surgery. 3rd ed. St. Louis, Mo.: Elsevier Saunders; 2011:811.