What are the symptoms of congenital absence of vagina?

In our daily life, many people suffer from congenital absence of vagina. In clinic, many patients with congenital absence of vagina want to know what symptoms and treatment methods they will have. What are the three major clinical manifestations of congenital absence of vagina?

During the differentiation and formation of sexual organs at about 7-10 weeks of embryonic period, after the two paramesonephric ducts merge, their tail ends are blocked or stagnant and fail to develop downward, resulting in congenital absence of vagina, often combined with congenital absence of uterus or rudimentary uterus, and occasionally with a normally developed uterus. The three major clinical manifestations of congenital absence of vagina are:

1. Difficulty in sexual intercourse: A small number of patients seek medical treatment for difficulty in sexual intercourse after marriage. Some patients, through long-term sexual intercourse, form a vaginal cavity and can even lead a normal married life. This situation is more common in rural areas. It is like vaginoplasty with pressure vaginoplasty.

2. Primary amenorrhea: Congenital absence of vagina is asymptomatic in childhood and is mostly diagnosed during adolescence when patients seek medical treatment for primary amenorrhea.

3. Cyclic abdominal pain: A small number of patients have a functional uterus, which is a solid spherical uterus without a cervix or uterine cavity. However, they may have regular cyclical abdominal pain during the menstrual cycle. Some abdominal pain is very severe, affecting their life and work. The uterus should be removed in time.

Only a very small number of patients have a normal uterus with a uterine cavity and cervix. The symptoms are that menstrual blood cannot be discharged during menstruation, and is retained in the uterine cavity, causing periodic abdominal pain, or because menstrual blood flows back into the abdominal cavity, pelvic endometriosis, such as chocolate cysts, can be formed. An enlarged uterus can be touched during an anal examination, and a gynecological examination and B-ultrasound can confirm the diagnosis. In this case, intestinal artificial vaginoplasty should be performed as soon as possible to anastomose the upper end of the artificial vagina with the cervix to facilitate the discharge of menstrual blood. Some patients can even have a normal pregnancy.

Through the introduction of the three major clinical manifestations of congenital absence of vagina, we should pay attention to any of the above physical discomforts. Experts point out that if a patient is diagnosed with congenital absence of vagina, the patient and his family should relax. Modern technology is developing rapidly. There are many clinical methods for the treatment of congenital absence of vagina. As long as the patient chooses a regular hospital for treatment, I believe he can recover completely as soon as possible.