How to use medicine for patients with congenital absence of vagina

How to use medicine for patients with congenital absence of vagina

Congenital absence of vagina often appears at the same time within a very short period of time, so some women find that they have congenital absence of vagina when they just find that their cervicitis has improved. Experts point out that in this case, female patients should know some medication principles for congenital absence of vagina and not put themselves into the dilemma of treatment.

Medication principles:

1. For patients with congenital absence of vagina, surgical treatment is the main treatment, supplemented by drug treatment. Drugs in "A" and "B" are only used in preoperative preparation and postoperatively. When "A" is ineffective, "B" can be used to prevent and treat infection.

2. Those who are found to have ovarian abnormalities before puberty can be given estrogen replacement therapy.

Treatment principles:

1. For those with normal uterine development, surgical treatment should be performed as soon as possible after menarche. The model should be placed after surgery until regular sexual life can be resumed.

2. If the uterus is obviously underdeveloped and menstruation does not occur, it is advisable to undergo premarital treatment. Compression therapy or surgical treatment can be used before marriage.

Surgical method:

1. Skin flap transplantation: The advantages of this procedure are simple and safe operation with a high success rate. However, it is relatively dry in the vagina and requires a mold to be placed in the vagina day and night for more than half a year. In addition, the skin graft is prone to necrosis and shedding, infection, and granulation, which makes the vagina shallower or the scar on the top of the cave shrinks.

2. Amniotic membrane transplantation: The advantages of this procedure are that it is simpler and has a higher success rate. The resulting vagina is similar to the natural vagina. However, it takes a long time for the artificial vagina to be completely covered by normal mucosa after the operation, and during this period, the vagina often becomes infected and forms scars and shrinks. The vaginal mold must be placed for a long time after the operation, which brings great pain to the patient.

3. Peritoneal vaginal replacement: This procedure is similar to amniotic membrane transplantation. The artificial vagina formed is close to the natural vagina, but the vaginal mold also needs to be placed for a long time.

4. Sigmoid colon replacement for artificial vagina: In comparison, this procedure has the highest success rate, and is very similar to a normal vagina in appearance and function. The vaginal mucosal walls are well-wrinkled, soft and moist, and usually have a little sticky secretion; the width and length are ample, which helps to make sexual life more pleasurable. Compared with the above procedures, it also has the advantage of not having to place a vaginal mold after surgery. This procedure is currently the most ideal procedure. It is especially suitable for patients who have undergone other vaginal shaping procedures before, and have caused vestibule-rectal fistula, bladder (urethra) vaginal fistula after surgery, or surgical cavitation that damaged the rectum, urethra or bladder.

The above is an introduction to "What are the medication principles for treating congenital absence of vagina". Women should not think that the symptoms of congenital absence of vagina are relatively mild, so their own resistance can fight the disease, because when the bacteria invade our vagina, the vaginal environment has been destroyed, and at this time, if it is not controlled by drugs, it is difficult to cure congenital absence of vagina.

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