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Gynaecology & Obstetrics General 286a9400

Normal size but non functioning uterus is usually associated with:

A
Stenosis of the external os
B
Uterine synechiae
C
Partial agenesis of the vagina
D
Complete absence of vagina
High-Yield Explanation
Lets have a look at each option: Option a: Stenosis of external os would result in hematometra, i.e. uterus would be large and non functioning (hence ruled out). Option c: Partial agenesis of vagina  In parital agenesis of vagina a segment of vagina may be atretic in the upper-third. It is often associated with hypoplasia or even absence of cervix. Uterus may be normal and functioning or malformed. Option d: Complete absence of vagina is almost always associated with absence of uterus. Hence by exclusion our answer is b i.e. uterine synechiae (Asherman syndrome) In Uterine syechiae–the uterus does not function normally due to presence of adhesions size of uterus is normal.

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