Uterine Procidentia in an African Adolescent: An Uncommon Gynecological Challenge

Abstract 

Background

Uterovaginal prolapse in adolescents is rare, hence this report.

Case

Miss O.N. was a 17-year-old Para 1⁺⁰ A1. She had a regular menstrual cycle. She presented with complaints of mass protruding from her vagina of twenty months duration. The problem started four months after a normal delivery at a maternity home. Her mother had a similar problem after her last delivery. A diagnosis of uterine procidentia was made. The patient and her care giver consented to use of ring pessary only.

Summary and Conclusion

Uterovaginal prolapse can occur in a black adolescent with normal menstrual cycle and in the absence of obvious musculoskeletal or neurogenic defect. The etiology could be multifactoral. Ring pessary is an effective non-surgical treatment option in the young.