Changed

A 16 year old girl is brought in by her parents, as she has not attained menarche. There are no other complaints.

Her medical, surgical and family histories are unremarkable. She is not on any drugs.

Select Relevant Investigations
Ultrasound Abdomen

Performed

The vagina is 4 cm in length, and blind ended. The uterus, fallopian tubes and ovaries cannot be visualized. There are B/L solid masses in the inguinal region, ~3 cm in diameter each, with peripheral cystic areas.
Karyotype Analysis

Performed

The karyotype is found to be 46 XY
Serum FSH and LH

Performed

LH: high normal
FSH: normal
17alpha-hydroxylase levels

Performed

17alpha-hydroxylase levels are within normal parameters.

Select Relevant Management
Hormone Replacement Rx
Counselling
Gonadectomy
Androgens