Differential diagnosis of congenital absence of vagina and uterine fibroids

Congenital absence of vagina is caused by bilateral hypoplasia of paramesonephric ducts or dysplasia of the caudal ends of bilateral paramesonephric ducts. It is often combined with congenital absence of uterus or only traces of uterus, and occasionally with a normally developed uterus and cervix, which do not extend to the caudal end to form a duct after fusion, but may also be combined with an atretic cervix. So, how to diagnose congenital absence of vagina? In response to this problem, the following editor will give you a brief introduction, and I hope the following introduction of the editor can help you.

1. Clinical manifestations

1. No menstruation after puberty

2. If the uterus develops normally, there may be periodic lower abdominal pain caused by blood in the uterine cavity and a lower abdominal mass.

3. Difficulty in sexual intercourse.

2. Physical signs

The vulva and secondary sexual characteristics are normally developed. There is no vaginal opening or only a shallow depression is seen at the external vaginal opening. There is no uterus during rectal examination, but a hypoplastic uterus may occasionally be found.

3. Auxiliary examination

1. B-ultrasound: understand the condition of uterine and pelvic masses.

2. Pyelopheliography: unless there is urinary tract malformation.

Many people want to buy some medicine for treatment after suffering from congenital imperforate vagina. Experts remind you: Do not take medicine blindly. Not only will the indiscriminate use of medicine fail to achieve the treatment effect, it may also aggravate the impact.