Abstract Laparoscopy assists with direct visualization of pelvic structures for diagnostic and prognosticating future reproductive chance in patients with primary amenorrhea. A patient with Müllerian abnormalities or gonadal agenesis can present with primary amenorrhea. Here, we present a case of a 25-year-old woman with primary amenorrhea despite developing normal secondary sexual characteristics with a blind end vagina. She underwent karyotyping, which was negative for the sex determining region of the Y chromosome gene. Subsequently, she had a diagnostic laparoscopy. Two normally sized ovaries were visualized with follicles, rudimentary fallopian tubes with the fimbria ends. The uterus was absent. It confirms Mayer–Rokitansky–Küster–Hauser syndrome. With these findings, we counseled the patient for vaginal dilation and assisted reproductive conception through surrogacy using her follicles. Laparoscopy plays a vital role in evaluating primary amenorrhea, especially in cases with difficult diagnosis and prediction of future reproductive chances.
Omolola et al. (Tue,) studied this question.