A young female,17yr old presented in opd with primary amenorrhea. On examination patient lacks secondary sexual characteristics.
Labs reveal:
Needs suggestions and opinion regarding diagnosis and management of this patient?
Whether the diagnosis is Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome or another hypothalamic or pituitary cause, the question is:
Since the patient does not have a uterus, fertility is not possible. We can do two things at most to help her:
Assisted reproduction method is very tricky in this case. It is certain that the patient can not have normal babies. We can stimulate her ovaries to produce eggs that can be invitro fertilized with her husband's sperm and placed in another woman's uterus.
From an Islamic point of view, this is only possible if her husband has another wife as well. The baby will be born to her husband's other wife but the genetic material will be her's.
If there are other expert opinions here, we shall have a consensus and plan this patient's management.