What are the consequences of congenital absence of vagina?

What are the effects of congenital absence of vagina? People usually think that plastic surgery is a treatment for adverse symptoms, but doctors remind us that any plastic surgery has potential risks. Congenital absence of vagina is a symptom of female vaginal malformation. Vaginal reconstruction in gynecological plastic surgery can be an effective treatment.

What is congenital absence of vagina?

Most patients with congenital absence of vagina only have completely closed vaginal vestibule mucosa at the normal vaginal opening, with no vaginal traces. Some patients also have shallow depressions in the vaginal vestibule, and some have blind vaginas shorter than 3 cm.

Congenital absence of vagina is the result of bilateral hypoplasia of the paramesonephric ducts, so congenital absence of vagina is almost always accompanied by absence of uterus or only traces of uterus, but the ovaries are generally normal. Most patients have not had menstruation since puberty, or seek medical treatment due to difficulty in sexual intercourse after marriage. Examination shows that the vulva and secondary sexual characteristics are normally developed, but there is no vaginal opening or only a shallow depression is seen at the external opening of the vagina. Sometimes a short shallow vaginal blind end of about 2 cm formed by the invagination of the urogenital sinus can be seen. Anal examination and pelvic B-type ultrasound examination show no uterus, and about 15% are combined with urinary tract malformations. Congenital absence of vagina should be differentiated from complete androgen insensitivity syndrome clinically. The latter has a chromosomal karyotype of 46, XY, and the difference from congenital absence of vagina is that there is very little pubic hair and axillary hair, and blood testosterone is elevated.

What are the dangers of congenital absence of vagina?

1. With or without uterine abnormalities. If the uterus develops abnormally, it may manifest as primary amenorrhea after puberty, with a small or deformed uterus. If the uterus develops normally, primary amenorrhea may occur with periodic abdominal pain, intrauterine blood, enlarged uterus, and sexual dysfunction.

2. Those with ovarian hypoplasia have incomplete development of secondary sexual characteristics, short stature, webbed neck, cubitus valgus and other deformities.

The above are the relevant treatments for congenital absence of vagina. If you have any other questions about vaginal plastic surgery, you can click on the online doctor on the website for detailed consultation.