Can a woman with congenital absence of vagina have a baby?

Congenital absence of uterus and vagina, commonly known as "stone woman", also called real woman in ancient times, refers to women who never have menstruation and have no obvious symptoms. It is the most common congenital malformation of the female urogenital system, caused by the failure to develop and join the middle and tail segments of the mesonephric ducts on both sides. The incidence rate is 1/4000~80000, and the cause is still unclear. Generally, the ovaries develop normally and the secondary sexual characteristics are not affected. Most of them are discovered after puberty when menstruation does not occur. So can people born without vagina have children?

Is it possible for patients with congenital absence of vagina to have children?

People who are born without vagina are physiologically female. This type of patients mainly have developmental disorders during the fetal period, resulting in abnormal vaginal formation. This disease is often accompanied by the absence or incomplete development of the uterus, while the ovaries are still normal. Therefore, the patient only has no vagina, and everything else is female developmental characteristics. After the operation, they can get married and have a satisfying sexual life, because they cannot have children without a uterus.

Patients with congenital absence of vagina often do not have a uterus, so they do not have menstruation. Even if a few people have a uterus, menstrual blood cannot be discharged because they do not have a vagina. The treatment for congenital absence of vagina is to rebuild an artificial vagina. There are many methods for artificial vaginal formation, including non-surgical treatment, which is to use the means of top pressure to gradually push the closed vestibular mucosa in the normal vaginal position toward the head end along the vaginal axis to form an artificial cavity.

Most patients with congenital absence of vagina have problems with abnormal uterine development, but a few patients with congenital absence of vagina have both uterus and ovaries. In this case, artificial vaginal surgery can be performed. If another vagina is built, menstruation can occur and fertility may be possible. However, the operation is difficult and must be performed in a regular hospital to ensure the effectiveness of the operation.