No Signs Of Virilization in Obstetrics & Gynecology — 17yo Child | General Gynecology | SMLE Q#1498

SMLE Question #1498

Obstetrics & Gynecology General Gynecology

Objective: OBJ-ETH-STERIL

Last updated: February 2026
A 17-year-old girl is evaluated for primary amenorrhea. She reports normal breast development and has sparse pubic and axillary hair. She denies cyclic pelvic pain. External genitalia appear female with no signs of virilization. Pelvic examination shows a short, blind-ending vagina with no palpable cervix. Pelvic ultrasound does not visualize a uterus, and no gonads are seen in the pelvis. What is the most likely diagnosis?

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