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Jacqui Beck, 19, shows her singing and dance moves
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Published: 14:26 BST, 14 November 2013 | Updated: 08:36 BST, 15 November 2013
A teenager has spoken of her 'total shock' at being told at the age of 17 she had no vagina.
Jacqui Beck, 19, has MRKH, an rare syndrome which affects the reproductive system - meaning she has no womb, cervix or vaginal opening. 
She was only diagnosed after she went to her GP about back pain - and mentioned in passing that she hadn't started her periods.
Shock: Jacqui Beck was told at the age of 17 she had no vagina. She was diagnosed with MRKH, an unusual syndrome which affects the reproductive system - meaning she has no womb, cervix or vaginal opening
Tests revealed her condition and that where her vagina should be, there is simply an ident, or 'dimple' - meaning she is unable to have sex or carry her own child.
Women with the condition appear completely normal externally - which means it is usually not discovered until a woman tries to have sex, or has not had her first period.
Miss Beck, from the Isle of Wight, admits when she was first diagnosed, she felt 'like a freak'.
'I'd never considered myself different from other women and the news was so shocking, I couldn't believe what I was hearing.
‘I was sure the doctor had got it wrong, but when she explained that was why I wasn’t having periods, it all started to make sense.
‘She then explained that I would never be able to carry a child and might have to have surgery before I could have sex.
‘I left the doctors in tears - I would never know what it was like to give birth, be pregnant, have a period. All the things I had imagined doing suddenly got erased from my future.
'I was really angry and felt like I wasn’t a real woman any more.'
Unaware: Miss Beck explained she has a 'dimple' where her vagina should be so from the outside it looks normal - hence why the condition wasn't detected in her younger years
Unexpected: Miss Beck was only diagnosed after she went to her GP about back pain - and mentioned in passing that she hadn't started her periods. Tests revealed her condition, which means she is unable to have sex or carry her own child
Because she had never attempted to have a physical relationship, Miss Beck had never noticed the problem herself. Had she tried, she would have discovered it was impossible for her to have sex.
MRKH (Mayer Rokitansky Küster Hauser) is a congenital abnormality which affects one in 5,000 women in the UK.
It is characterised by the absence of the vagina, womb and cervix.
Women suffering from the condition will have normally functioning ovaries and so will experience the normal signs of puberty but will not have periods or be able to conceive.
The external genatalia are completely normal which is why MRKH isn’t usually discovered until women are in their teenage years.
It’s usually discovered when the woman tries to has sex or fails to get her period.
Many women are able to create a vaginal canal using dilation treatment, which uses cylinder shaped dilators of different sizes to stretch the muscles.
However, if this is unsuccessful then surgery will be used to stretch the vaginal canal.
Following treatment women are able to have intercourse and can have their eggs removed and fertilised to be used in surrogacy.
She said: 'I t wasn’t really a conscious decision not to have a boyfriend, I just didn’t really fancy any of the boys in my area, which is lucky, considering what I know now’.
MRKH affects one in 5,000 women in the UK. Most discover they have the condition because they haven't started their periods, but some find out when they struggle to have intercourse.
Miss Beck explained she has a 'dimple' where her vagina should be so from the outside it looks normal - which explains why the condition wasn't detected earlier.
Despite the shocking news, she is trying to see her condition in a positive light - and even as a way of making sure she meets the right man.
She said: 'If he has a problem with it, then he’s not the kind of guy I want to go out with.
'I ’m a hopeless romantic and I see it as a great test of someone’s character. Instead of focusing on it putting off men, I actually think it will help me find, “the one”.
'I want to be upfront with any men I meet and tell them straight away about my condition. I don’t want them to feel tricked into being with me.
‘I will feel more comfortable if they know the truth and besides, if they run at the mention of MRKH then I don’t want to be intimate with them.'
She says that as a teenager, she was blissfully unaware of her condition - with no idea that the development she was waiting for would never happen.
'When I was 14, my friends started talking to me about their periods. They started carrying tampons around, complaining about cramps and sharing notes on what it was like.
‘For a year I waited to go through the same, until at 15, everyone I knew had started their period apart from me.
Despite the shocking news, she is trying to see her condition in a positive light - and even as a way of making sure she meets the right man. She said: 'If he has a problem with it, then he’s not the kind of guy I want to see'
‘I didn’t panic though, I’m tall and skinny and thought that might be something to do with me being a late developer.’
Instead, she focused on her future and when she was 17, applied to attend a music college in Guildford.
But after suffering from pain in her neck in summer 2012, she went to see her GP.
'While I was there, I mentioned I hadn’t started my period yet. I still wasn’t overly worried but I thought it was worth saying something
‘My doctor was very surprised but didn’t seem to think it was serious. He just suggested that he would do some scans to see what the problem was.'
Hindsight: Miss Beck says that as a teenager, she was blissfully unaware of her condition - with no idea that the development she was waiting for would never happen
Women with MRKH appear completely normal externally - which means it is often not discovered in childhood, but in the teenage years
When scans showed nothing, she was referred to a gynaecologist, who immediately spotted something was wrong.
Miss Beck said: ‘My other scan results had been sent to her and just from looking at them, she knew I had MRKH.
‘She sat me down and basically explained that I didn’t have a womb, or a vagina, that I was born without them and instead just had a small dimple in it’s place.'
So mortified by what she had heard, she was too embarrassed to admit to family and friends she had the condition - let alone the prospect of telling any future boyfriends.
She said: ‘I was too embarrassed to call my mum and talk it through with her, so instead, I sent her an email.
Help: Miss Beck is now undergoing treatment to help her try and have intercourse in the future
'She called straight back and came over to Guildford the next day from the Isle of Wight.
‘Although mum was upset for me, she tried to focus on finding out as much about the condition as possible, so we could understand it.
‘She also encouraged me to focus on the bright side. We laughed as we listed all the things I wouldn’t have to go through, period cramps, childbirth, smear tests - to try and look on the bright side.’
Focusing on her treatment, Miss Beck was admitted to the Queen Charlotte and Chelsea Hospital in London, which specialises in the condition.
There, she was given dilation treatment, which involved using different sized dilators to try and stretch her vaginal canal - but was told if it didn’t work, she would have to be operated on.
Honest: Miss Beck says she now wants to speak out about her condition to raise awareness of it
She said: ‘I spent two days there, getting taught how to use the dilator and learning more about MRKH.
‘The first time the nurse showed me how to use a dilator I nearly died of embarrassment. But now I've got used to it, I see it as any other form of treatment.
‘At the hospital, they referred me to a network of other women who have the same condition. It was great to speak to other girls who felt like me.
‘I stopped feeling so lonely and it also gave me hope as I spoke to women who had gone on to have a full sex life.’
Thankfully, her treatment has worked and if she continues she will not need surgery and when she chooses to, will be able to have intercourse.
Further down the line there are more difficult conversations she will have to have to have when she wants to have children.
She said: ‘I’m not at an age when I’m thinking about kids, but I think that will hit me later on. I will use a surrogate, or adopt, but I will have to make sure any guy I meet is ok with that too.
‘Again, I try and take it as a blessing that, unlike woman who discover they can’t conceive when they are already trying for a baby, I have time to get used to the idea.’
For Miss Beck, her one hope is that the condition becomes more well known, so that other women realise they have it earlier than she did.
‘I had only told five of my best friends, but then I realised it’s not something I should be ashamed of.
‘If I had cancer, or, any other medical issue, people would be supportive. So, I recently came out to everyone on Facebook, telling them about my condition.
‘I was surprised at how positive everyone was, they said I was brave and beautiful, now I wish I had been open about it from the beginning.’
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Medically Reviewed by Carol DerSarkissian, MD on March 06, 2022
The age-old question of whether or not size matters is typically directed at men. But although they might not talk about it, some women may worry about the size of their vagina and how it affects sexual pleasure, particularly after having a baby .
Not a lot of research has been done in this area. Because so many things affect women’s sexuality, it's hard for researchers to know if vagina size and sexual pleasure are linked.
“Our ability to understand size as it relates to sexual function is poorly understood,” says Christopher Tarnay, MD, director of the division of female pelvic medicine and reconstructive surgery at the UCLA Medical Center.
The vagina is a very “elastic” organ, says Christine O’Connor, MD, director of adolescent gynecology and well women care at Mercy Medical Center in Baltimore.
It's small enough to hold a tampon in place, but can expand enough to pass a baby through. This is because the walls of the vagina are similar to those of the stomach in that they have rugae, meaning they fold together to collapse when unused, then expand when necessary.
“It doesn’t stay one particular size,” O’Connor says. “It changes to accommodate whatever is going on at that time.”
The most commonly used measurements regarding the size of vaginas come from Masters and Johnson’s work from the 1960s. They looked at 100 women who had never been pregnant and found that vagina lengths, unstimulated, range from 2.75 inches to about 3¼ inches. When a woman is aroused, it increased to 4.25 inches to 4.75 inches. Regardless of how long the vagina is, the area that is thought to be important for most women’s sexual response is the outer one-third.
So how does length relate to sexual satisfaction? No one seems to know for sure.
Tarnay says the main issues women report is discomfort during sex. This typically happens if the vagina is too short or tight or if they have a prolapse. In prolapse, the uterus, bladder , or other organs fall out of place, typically after childbirth.
But in general, vaginal length "probably doesn’t matter,” Tarnay says. “There is such a wide range of normal. One can be completely assured that in the absence of prolapse, length has no impact on sexual satisfaction.”
What may make a difference, Tarnay says, is what he calls the genital hiatus -- the vaginal opening. If there's a problem, it typically happens after childbirth.
The vaginal opening likely changes only slightly after birth, Tarnay says. In 1996, doctors began using a measurement called the pelvic organ prolapse quantification system as a way of helping them see how well they were doing repairing that area after childbirth.
This was the first time there was a true before-and-after measurement, Tarnay says. Doctors have used the system to look at populations of women and found that there is a slight increase in the size of the opening after vaginal deliveries. The issue may be more related to muscular weakness or injury in that area, Tarnay says.
“Women who are able to contract the pelvic floor muscles can increase or decrease the size of the hiatus,” he says. “Increasing pelvic floor muscle tone can reduce looseness.”
Kegel exercises can be very effective at strengthening these muscles, Tamay says may generally improve sex .
A study published in the Australian & New Zealand Journal of Obstetrics and Gynaecology in 2008 found that women who regularly did Kegel exercises reported greater sexual satisfaction than women who didn’t do Kegels.
To find the muscles you use to do Kegels, you can either insert a finger into the vagina and squeeze the surrounding muscles or stop the flow when urinating. After you’ve found the muscles, practice contracting them for five to 10 seconds, and then relax. If you can’t hold for that long, work your way up. Repeat the process 10 to 20 times, three times a day. While doing these exercises, breathe normally and try not to use the muscles in your legs, stomach, or bottom.
Some women sustain nerve injury during birth and can’t feel these muscles. Tarnay says there arephysical therapists who specialize in helping women learn how to do Kegels.
Worrying about vagina size and whether or not it changes over time is the wrong concern, O’Connor says. She notes that other things -- like lubrication, arousal, and having and a good relationship with your partner -- have a much greater impact on sexual enjoyment for women.
A 2010 study published in the International Urogynecology Journal bears out her opinion. Researchers used medical records, an exam, and questionnaire of 500 gynecological patients aged 40 and older to see if there was a correlation between vaginal length and opening size and sexual satisfaction.
The researchers found that desire, arousal, orgasm, pain, and sexual satisfaction weren't linked to vagina size. 
“It is not an exact physical fit you are looking for in terms of sexual function,” O’Connor says. “It is more about the communication between the two partners and making sure both are getting what they need out of the experience and are comfortable.”
Christopher Tarnay, MD, associate professor of obstetrics and gynecology; director, division of female pelvic medicine and reconstructive surgery, UCLA Medical Center.
Christine O’Connor, MD, director of adolescent gynecology and well women care, Mercy Medical Center, Baltimore.
Schimpf, M. “Does vaginal size impact sexual activity and function?” International Urogynecology Journal , April 2010.
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WebMD does not provide medical advice, diagnosis or treatment.

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Elite Daily writer Jamie Leelo spoke to a former vag waxer by the name of Mel who broke down all the ins and outs of the thousands of vaginas she saw, and came up with FIVE major vagina archetypes.
Of course, not all vaginas fit into these categories, and, hell, what are categories anyway? As Mel noted, "This isn’t a mathematic algorithm. This is just to help women understand this weird ‘secret’ [the appearance of our vaginas] we keep from our friends and society at large is not as scandalous or peculiar as we may have thought."
But, for simplicity's sake, we're gonna refer to the vulva here as a vagina, mmkay? Also, these all have "Ms." names, but ANYBODY can have a vagina.
The Barbie look features a vag where the labia majora (outer vagina lips) completely contain the labia minora (inner vagina lips).
This vag model is much more common .


*First Published: Jul 24, 2015, 10:05 pm CDT
More stories to check out before you go

Posted on Jul 24, 2015   Updated on May 28, 2021, 7:13 am CDT
Following rigorous competition and more than 130,000 voters, the World’s Most Beautiful Vagina Contest anointed a champion this week. It was a strange, difficult-to-gauge event—but that’s why organizers turned to scientists to tell us what it all means.
U.K. resident Nell, 27, won first place and $5,000 in the pageant with a vulva beauty ranking of 7.7 out of 10. Jenny, 23, of Bavaria, Germany, took second place with a 7.3; and Anita, 20, from Hungary, came in third. They each earned $2,500 and $1,250, respectively.
The contest was sponsored by Brian Sloan, who is also the manufacturer of the Autoblow 2 . It’s known as “the first truly realistic alternati
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