Early symptoms and treatment of congenital absence of vagina

Experts say that congenital absence of vagina is caused by the obstruction of the development of female reproductive organs. Most patients have no uterus or only traces of uterus, but the ovaries are generally normal. So what are the symptoms of congenital absence of vagina? How to deal with it?

Symptoms and treatment of congenital absence of vagina:

1. Symptoms of congenital absence of vagina

Generally, there are no symptoms. Most patients seek medical treatment due to primary amenorrhea during puberty or sexual difficulties after marriage. If there is a uterus, the patient will experience lower abdominal pain due to blood accumulation in the uterine cavity after menstruation. The vulva is normally developed, with no vaginal opening or only a shallow pit. An enlarged uterus can be felt during an anal examination.

2. Treatment of congenital absence of vagina

Generally, artificial vaginoplasty is performed. For patients with normal uterine development, artificial vaginoplasty should be performed as soon as possible after the onset of menstruation to allow smooth drainage of blood accumulation in the uterine cavity and preserve the uterus and fertility. For patients whose uterus cannot be preserved, hysterectomy should be performed.

For those without uterus or with only traces of uterus, artificial vaginoplasty should be performed 6-12 months before marriage. The main surgical methods include free flap vaginoplasty, amniotic membrane vaginoplasty, peritoneal vaginoplasty, vulvar vaginoplasty, sigmoid colon vaginoplasty, and top pressure vaginoplasty.