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Diagnostic dilemma: Woman born without a vagina or cervix went on to conceive a son naturally


The patient: A 16-year-old girl in the United Kingdom

The symptoms: The teenage girl was referred to a pediatric-adolescent gynecology clinic in 1999, doctors wrote in a case report. She had pelvic pain that followed the regular pattern of a menstrual cycle, but she had not yet had her first period. She was referred for “amenorrhea,” or the absence of menstruation.

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