Treatment and precautions for congenital absence of vagina

Congenital absence of uterus and vagina is very harmful to women both physically and psychologically. Therefore, understanding the congenital absence of uterus and vagina in women is helpful for health care. Congenital absence of uterus and vagina mainly refers to the obstruction of the embryo during development by internal or external factors, which may be caused by abnormal development of the paramesonephric duct due to gene mutation. It is mainly manifested in female chromosome karyotype, slow development of systemic growth and female secondary sexual characteristics, normal vulva but missing vagina, uterine development, small fallopian tubes, abnormal ovarian development and function, etc.

The principle of treatment for congenital absence of vagina is to reconstruct the vagina. There are various methods for artificial vaginal formation, including non-surgical treatment, which is to gradually push the closed vestibule mucosa in the normal vaginal position along the vaginal axis to the head side to form an artificial cavity. This method requires a long treatment time and the artificial vagina formed is short. If the tissue elasticity is poor, it is difficult to succeed. It is now basically abandoned and rarely used.

The amniotic membrane is used to cover the artificial acupuncture points. The amniotic membrane is a foreign tissue and cannot survive. It can only be temporarily covered. In the end, it will heal in the form of scars. It does not conform to the tissue characteristics of the mucosa and cannot have sexual intercourse. In recent years, with the progress of microsurgery, vascularized myocutaneous flaps have been used to cover the cavity, which has opened up a new way for this operation. Its advantages and disadvantages need to be promoted before a conclusion can be drawn. Oral mucosa can be used to replace the vagina to restore normal sexual life, and the method of resetting the corner uterus can restore normal menstruation and pregnancy. For some blind bag-like vaginas that are not fertile, local top pressure method can be used according to the patient's wishes. A round and blunt mold like a test tube can be used to press for a long time by oneself, and intercourse can also slowly deepen. . Choice of time for vaginoplasty surgery For those without vagina and uterus, the only solution after surgery is sexual life, so it is best to perform it before or shortly after marriage. For those with normal uterus, surgery should be performed as early as possible at the age of menarche to prevent menstrual blood retention.

Congenital absence of vagina causes certain harm to women's physical and mental health. Therefore, it is necessary to find and treat it in time to avoid affecting the patient's sexual life and physical and mental health.