A rare medical case out of Delhi is drawing widespread attention. A 26-year-old man who approached RG Hospitals in Rajouri Garden for infertility treatment was found to have a uterus and fallopian-tube-like structures inside his body — a congenital condition that had gone undetected for over two decades.
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What Doctors Found as Delhi Man Discovers He Has a Uterus While Seeking Infertility Treatment?
The man had been seeking treatment for primary infertility and was diagnosed with azoospermia, meaning no sperm was present in his semen. Further evaluation revealed both his testes were undescended, with one showing pre-cancerous changes. An MRI scan confirmed a small, underdeveloped uterus along with tubular Müllerian structures inside the pelvis.
The Condition: PMDS Explained
Doctors identified the condition as Persistent Müllerian Duct Syndrome (PMDS) — an extremely rare congenital disorder in which uterus-like and fallopian-tube-like structures persist in a person with typical male chromosomes and physical development. Fewer than 300 cases have ever been documented in medical literature worldwide, and it’s usually diagnosed in childhood, making an adult-onset discovery like this particularly unusual.
Quick Facts
| Detail | Information |
|---|---|
| Patient Age | 26 years |
| Hospital | RG Hospitals, Rajouri Garden, Delhi |
| Condition | Persistent Müllerian Duct Syndrome (PMDS) |
| Key Finding | Uterus and fallopian-tube-like structures |
| Sperm Test | Azoospermia (no sperm detected) |
| Testes Status | Both undescended; one pre-cancerous |
| Treatment | Laparoscopic surgery |
| Global Cases Reported | Fewer than 300 |
Treatment and Outcome
Given the cancer risk associated with the long-standing undescended testes, the surgical team removed both the abnormal Müllerian structures and the damaged testes through laparoscopic surgery. Chief Urologist Dr. Susheel Kharbanda credited the successful outcome to a multidisciplinary approach combining urology, radiology, pathology, reproductive medicine, and genetic evaluation.
Why This Case Matters
The case highlights how rare congenital conditions can remain silent well into adulthood, often surfacing only when patients seek treatment for unrelated concerns like infertility — underscoring the importance of thorough diagnostic evaluation in such cases.
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