system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 17-year-old woman presents to an OBGYN clinic for evaluation of primary amenorrhea. She is a well-developed well-nourished woman who looks at her stated age. She has reached Tanner stage IV breast and pubic hair development. The external genitalia is normal in appearance. She has an older sister who underwent menarche at 12 years of age. A limited pelvic exam reveals a shortened vaginal canal with no cervix. No uterus is visualized during an ultrasound exam, but both ovaries are noted. What is the likely pathophysiology underlying this condition?
assistant
Failure of the paramesonephric duct to form