Vulvar malformation is a relatively common congenital genital malformation. There are many types of vulvar malformations. Most female genital malformations are generally not easy to be discovered because they are located in a private part of the female body. In addition, some people are often embarrassed to seek medical treatment after becoming ill, and only seek medical treatment when their condition worsens. Female vulvar malformations must be treated as soon as possible, otherwise it will affect women's fertility and future sexual life. Symptoms of vaginal dysplasia 1. Atresia of vagina: The urogenital sinus bulb does not develop normally, causing partial closure of the vagina. The closure is located in the lower part of the vagina, about 2 to 3 cm long, and the vagina above it is still normal. Because the lower vagina is closed, menstrual blood drainage is also blocked, so the symptoms are the same as those of hymen occlusion. 2. Congenital absence of vagina If the bilateral mesonephric ducts are not fully developed after merging, their ends do not extend caudally, resulting in congenital absence of vagina. It is often accompanied by the absence of uterus or a trace of uterus. Only a very small number of patients have a normally developed uterus. The ovaries are generally normal. Such patients often have urinary tract malformations. Also known as Meyer-Rokitansky -Kuster-Hauser syndrome (MRKH's syndrome). 3. Transverse vaginal septum : If the junction between the bilateral mesonephric ducts and the urogenital sinus is not connected, or if the vaginal plate is not completely cavitated and connected at different locations, a transverse vaginal septum may be formed. The septum can be located at any level within the vagina, most often in the middle or upper third. The thickest is about 1cm, but it can also be very thin. A septum with a hole is an incomplete transverse septum. Incomplete septum transverse is more common, while complete septum transverse is rare. 4. Longitudinal vaginal septum Vaginal septum is caused by the failure of the septum to disappear or incomplete disappearance when the bilateral paramesonephric ducts fuse. It can be divided into complete or incomplete vaginal septum. This type of malformation is often combined with various types of uterine and cervical malformations. There may be a double cervix and a double uterus, a single cervix and a double uterus, or a normal cervix and a normal uterus. 5. Oblique vaginal septum : The end of the vaginal septum deviates from the midline and tilts to one side and merges with the side wall of the vagina, forming a double vagina, one side of which is connected to the outside world. The other side is the blind end of the vaginal cavity. Often associated with double uterus. One side of the uterus has smooth menstrual blood drainage. The menstrual blood from the other side of the uterus accumulates in the blind cavity of the vagina. Since there are holes on most oblique septa, menstrual blood can slowly discharge outward. If there is no hole on the oblique septum, menstrual blood cannot be drained and will accumulate in the blind end of the vagina or uterus on the same side. Most cases of oblique vaginal septum are accompanied by ipsilateral renal agenesis. |
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