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Living with Mayer-Rokitansky-Kuster-Hauser syndrome

A condition in which the uterus and vagina are underdeveloped or missing, often noticed when periods don't start.

Understanding Mayer-Rokitansky-Kuster-Hauser syndrome

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a disorder in which the vagina and uterus are underdeveloped or absent.

Without a uterus, there are no periods. The first sign is often that periods have not started by age 15. People have a 46,XX chromosome pattern, normal external genitalia, working ovaries, and normal breast and pubic hair growth. Type 1 affects only reproductive organs. Type 2 can also affect the kidneys, hearing, heart, and spine bones.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • No periods by age 15 (primary amenorrhea)
  • Absent uterus
  • Underdeveloped vagina
  • Abdominal pain
  • Painful sex (dyspareunia)
  • Kidney differences

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists, kidney specialists, maternal-fetal medicine specialists and urinary and male reproductive system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Resolve: The National Infertility Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Kidney specialists (nephrologists); Maternal-fetal medicine specialists (pregnancy-related); Urinary and male reproductive system specialists (urologists)
Expert care
Expert lists: Resolve: The National Infertility Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Beautiful You MRKH Foundation and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Do I have type 1 or type 2, and are other organs involved?
What options exist for the vagina and for having children?
What emotional support is available?

Quick facts

Symptoms usually startduring Pregnancy and as a Teenager
InheritanceAutosomal Dominant

Changes in genes (also called variants) cause this condition. It is inherited in an autosomal dominant way, so a change in one copy of the gene can be enough.

GeneticKidneyUrinary and Reproductive

Also known as: cauv; congenital absence of uterus and vagina; mayer rokitansky küster hauser syndrome; mayer-rokitansky-küster-hauser syndrome; mrkh; mrkh syndrome

Patient organizations

Source: NIH GARD · Mayer-Rokitansky-Kuster-Hauser syndromeGARD ID 5445 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Mayer-Rokitansky-Kuster-Hauser syndrome.

Explore the Mayer-Rokitansky-Kuster-Hauser syndrome blog

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