Reproductive congenital anomalies: identifying paths to care within student-run free clinics.
5 affiliations
- 1Division of Urogynecology & Reconstructive Pelvic Surgery, Department of Obstetrics & Gynecology, Northwestern University Feinberg School of Medicine, Chicago, IL, United States.
- 2Now at Department of Obstetrics & Gynecology, Hackensack Meridian School of Medicine, Nutley, NJ, United States.
- 3Oakland University William Beaumont School of Medicine, Rochester, MI, United States.
- 4Gary Burnstein Community Health Clinic, Pontiac, MI, United States.
- 5Department of Obstetrics & Gynecology, Oakland University William Beaumont School of Medicine, Rochester, MI, United States.
Abstract
Reproductive system congenital anomalies can have debilitating impacts on patient sexual function and reproductive capacity. We present the experience of a 26 year-old phenotypic female patient who identified as female with primary amenorrhea in the student-run free clinic (SRFC) setting. Following clinical evaluation, bloodwork noted an elevated testosterone level. Pelvic ultrasound demonstrated intact bilateral upper genitourinary tracts, bilateral adnexal masses without follicles, with absence of uterus, cervix and upper vagina. Subsequent pelvic magnetic resonance imaging confirmed these findings. Karyotype testing resulted 46XY, confirming androgen insensitivity syndrome. Urologic consultation was obtained, with plans for subsequent referral to a regional SRFC associated with a multi-disciplinary team specializing in reproductive tract anomalies. Unfortunately, despite approvals for charity care and extensive care coordination between the patient and our SRFC, the patient ultimately was lost to follow-up. Despite this suboptimal outcome, this experience provided valuable exposure to rethink how both our SRFCs and others can evolve operations into effective care systems for similar patients in the future. Lessons accrued here provided opportunities to reflect on how to develop a standardized referral and operational framework generalizable to other SRFCs who may care for similar patients.
Related
- Managing Choledocholithiasis in Rare Congenital Hepatobiliary Anomalies: A Report of Three Cases
- Missed, Misclassified or Misunderstood? Clinician Perspectives on Congenital Uterine Anomalies in Australia and New Zealand
- Modern hysteroscopic management of congenital uterine anomalies: current techniques, emerging technologies, and future directions
- Exploring stakeholder support for student-run free clinics to address gaps in non-communicable disease care in Ghana: An exploratory sequential mixed-methods study
- Is SARS-CoV-2 Infection (COVID-19) Associated With Congenital Anomalies? A Population Study of Congenital Anomaly Surveillance Data and Maternal SARS-CoV-2 Infection in Wales.
BibTeX
@article{lee2026reproductive,
title = {{Reproductive congenital anomalies: identifying paths to care within student-run free clinics.}},
author = {David Lee and Felicia Fong and Elena Ghezzi and Nicholas Blackmond and Kurt Wharton},
journal = {Oxford medical case reports},
year = {2026},
month = oct,
doi = {10.1093/omcr/omag201},
url = {https://europepmc.org/article/MED/42928909},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Reproductive congenital anomalies: identifying paths to care within student-run free clinics.
AU - David Lee
AU - Felicia Fong
AU - Elena Ghezzi
AU - Nicholas Blackmond
AU - Kurt Wharton
PY - 2026
DA - 2026/10/25
JO - Oxford medical case reports
DO - 10.1093/omcr/omag201
UR - https://europepmc.org/article/MED/42928909
AB - Reproductive system congenital anomalies can have debilitating impacts on patient sexual function and reproductive capacity. We present the experience of a 26 year-old phenotypic female patient who identified as female with primary amenorrhea in the student-run free clinic (SRFC) setting. Following clinical evaluation, bloodwork noted an elevated testosterone level. Pelvic ultrasound demonstrated intact bilateral upper genitourinary tracts, bilateral adnexal masses without follicles, with absence of uterus, cervix and upper vagina. Subsequent pelvic magnetic resonance imaging confirmed these findings. Karyotype testing resulted 46XY, confirming androgen insensitivity syndrome. Urologic consultation was obtained, with plans for subsequent referral to a regional SRFC associated with a multi-disciplinary team specializing in reproductive tract anomalies. Unfortunately, despite approvals for charity care and extensive care coordination between the patient and our SRFC, the patient ultimately was lost to follow-up. Despite this suboptimal outcome, this experience provided valuable exposure to rethink how both our SRFCs and others can evolve operations into effective care systems for similar patients in the future. Lessons accrued here provided opportunities to reflect on how to develop a standardized referral and operational framework generalizable to other SRFCs who may care for similar patients.
SN - 2053-8855
ER -