Infertility Patients who do not undergo evaluation for primary amenorrhea often seek clinical attention for infertility. Although the ovaries function normally, the fallopian tubes may be closed, and the uterus often is anomalous. Inability to have intercourse The degree of vaginal aplasia can vary from complete absence to a blind pouch. The more shallow the canal, the greater the likelihood of the patient having dyspareunia. Renal malformations Absence or ectopia of the kidneys is common.
Diagnosis can lead to discovery of renal anomalies.
Normal secondary female sexual characteristics are present after puberty. Height is normal. Speculum examination of the vagina may be impossible or difficult due to the degree of vaginal agenesis. The vulva, labia majora, labia minora, and clitoris are normal. A palpable sling of tissue may be present at the level of the peritoneal reflection.