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Trastornos en el desarrollo del aparato reproductor femenino - Symptom

Síntomas:

Los síntomas varían de acuerdo con el problema específico y pueden abarcar:

Falta de desarrollo de las mamas
Protuberancia en el área estomacal, generalmente debido a sangre o moco que no puede salir
Flujo menstrual que ocurre a pesar del uso de un tampón (un signo de una segunda vagina)
Dolor o cólicos mensuales sin la menstruación
Ausencia de menstruación (amenorrea)
Abortos espontáneos o nacimientos prematuros repetitivos (puede deberse a un útero anormal)

Signos y exámenes:

El médico puede notar signos de un trastorno del desarrollo inmediatamente. Tales signos pueden ser:

Vejiga en la parte externa del cuerpo
Genitales que son difíciles de identificar como niña o como niño (genitales ambiguos)
Labios que están fusionados
Ausencia de aberturas en el área de los genitales o una abertura rectal única

Se puede realizar un cariotipo (pruebas genéticas) si la persona tiene genitales ambiguos. Si hay hinchazón abdominal o una protuberancia en la ingle o el abdomen, el médico ordenará exámenes para determinar la causa.

Los exámenes pueden abarcar:

Endoscopia del abdomen
Niveles hormonales, especialmente testosterona y cortisol
Ecografía o IRM
Electrolitos en suero y orina

Reviewed last on: 11/1/2009
Linda Vorvick, MD, Seattle Site Coordinator, Lecturer, Pathophysiology, MEDEX Northwest Division of Physician Assistant Studies, University of Washington School of Medicine; Susan Storck, MD, FACOG, Clinical Teaching Faculty, Department of Obstetrics and Gynecology, University of Washington School of Medicine, Chief, Eastside Department of Obstetrics and Gynecology, Group Health Cooperative of Puget Sound, Redmond, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Diamond DA. Abnormal sexual differentiation. Evaluation and management of the newborn with ambiguous genitalia. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 128.

Emans SJ, Laufer MR, Goldstein DP. Pediatric and Adolescent Gynecology. 5th ed. Philadelphia, Pa: Lippincott Williams & Wilkins;2005.

Katz VL, Lentz GM. Congenital abnormalities of the female reproductive tract. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby Elsevier; 2007:chap 12.

Katz VL. Spontaneous and recurrent abortion: etiology, diagnosis, treatment. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby Elsevier; 2007:chap 16.

Niebyl JR, Simpson JL. Drugs and environmental agents in pregnancy and lactation: embryology, teratology, epidemiology. In: Gabbe SG, Niebyl JR, Simpson JL, eds. Comprehensive Gynecology. 5th ed. Philadelphia, PA: Mosby Elsevier; 2007:chap 8.

Park JM. Normal development of the urogenital system. In: Wein AJ, ed. Campbell-Walsh Urology. 9th ed. Philadelphia, PA: Saunders Elsevier; 2007:chap 106.

Sanfilippo JS. Vulvovaginal and müllerian anomalies. In: Kliegman RM, Behrman RE, Jenson HB, Stanton BF, eds. Nelson Textbook of Pediatrics. 18th ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 554.

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