We need to actively grasp the basis for the differential diagnosis of congenital absence of vagina. Only by actively grasping the basis for the differential diagnosis of congenital absence of vagina can we help everyone actively identify it. Next, we will give a detailed interpretation of the basis for the differential diagnosis of congenital absence of vagina. The differential diagnosis of congenital absence of vagina is based on: 1. Imperforate hymen: The shape, size and thickness of the hymen hole vary from person to person. Generally, the hymen hole is located in the center and is half-moon-shaped. Occasionally, a septum appears, dividing the hymen hole into two halves, called a septum hymen or a double-hole hymen. There are also membranes that are sieve-shaped and cover the vaginal opening, called sieve-shaped hymens. If the hymen folds are overdeveloped and become a hymen without holes, it is called imperforate hymen, which is the most common abnormal development of female reproductive organs. It can be diagnosed based on symptoms and signs. 2. Primary amenorrhea: refers to women who are 18 years old or older or whose secondary sexual characteristics have matured for more than 2 years but still have no menstruation. It is seen in congenital reproductive tract development abnormalities such as uterine hypoplasia or absence, congenital ovarian hypoplasia or absence, primary pituitary hypogonadism and congenital adrenal hyperplasia. In a few cases, pseudo-amenorrhea caused by lower reproductive tract atresia should be excluded. Diagnosis 1. Prepubertal period is often neglected. If carefully examined, there may or may not be a hymen, a shallow depression at the opening of the hymen, or a short and shallow lower vagina. 2. With or without uterine dysplasia. If the uterus develops abnormally, it will manifest as primary amenorrhea after puberty, with a small or deformed uterus. If the uterus develops normally, primary amenorrhea will occur with periodic abdominal pain, intrauterine blood accumulation, and enlarged uterus. 3. Sexual dysfunction. 4. Those with ovarian hypoplasia have incomplete development of secondary sexual characteristics, short stature, webbed neck, cubitus valgus and other deformities. The above is an analysis of the differential diagnosis basis of congenital absence of vagina. Everyone must actively grasp it. Of course, after grasping the differential diagnosis basis of congenital absence of vagina, everyone must actively go to a professional hospital to treat this disease. |
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