Symptoms and treatment of congenital absence of vagina

We all know that congenital absence of vagina will have a serious impact on women's fertility. All female friends who suffer from this disease are very eager to know how to treat this disease. The treatment of congenital absence of vagina is divided into non-surgical treatment and surgical treatment. The most commonly used clinical treatment is surgical treatment, that is, artificial vaginoplasty.

Congenital absence of vagina directly affects female fertility and has a great impact on women's psychology and physiology. The following experts will give a detailed introduction to the manifestations and treatment of congenital absence of vagina.

Congenital absence of vagina is generally asymptomatic. Most patients seek medical attention 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.

Treatment of congenital absence of vagina:

For patients with congenital absence of vagina, artificial vaginoplasty is generally performed clinically. For patients with normal uterine development, artificial vaginoplasty should be performed as soon as possible after 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. It is very important for patients to communicate with doctors before surgery.

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.

What are the symptoms of congenital absence of vagina?

This disease is characterized by normal female chromosome karyotype, normal systemic growth and development of female secondary sexual characteristics, normal vulva, absent vagina, developed uterus (only remnants of the two horns), small fallopian tubes, and normal ovarian development and function.

Patients with Rokitansky-Kustner-Hauser syndrome, which is often characterized by testicular feminization, are the most common. Patients with testicular feminization (androgen insensitivity syndrome) are relatively rare. Very few patients have true hermaphroditism or gonadal dysgenesis.

The vast majority of patients with congenital absence of vagina only have completely closed vaginal vestibule mucosa at the normal vaginal opening, with no traces of vagina.

Some patients also have a shallow depression in the vestibule of the vagina, and some have a blind vagina shorter than 3 cm. Often accompanied by no deformity, only slightly thickened strips of tissue can be seen in the normal uterus, located in the middle of the broad ligament.

The above is an analysis of the treatment methods for congenital absence of vagina. Patients should not worry too much after suffering from this disease. In addition, if a girl has not had menstruation before the age of 18, she should go to the hospital to check the cause. As for the choice of surgical method, the patient needs to cooperate with the doctor to choose.