AI Article Synopsis

  • An imperforate hymen (IH) is a rare condition that completely blocks the vaginal canal, affecting about 1 in 1000-10,000 women and causing issues like abdominal pain and urine problems.
  • A specific case is discussed involving a patient with primary amenorrhea and urinary retention, treated through a surgical procedure called hymenotomy.
  • The challenges of potential hymen re-closure due to insufficient estrogen in the genital area are addressed, and the option of vaginal molding is provided to the patient to prevent this issue.

Article Abstract

An imperforate hymen (IH) is a condition where the hymen, which is a thin membrane that partially covers the vaginal opening, completely obstructs the vaginal canal. This condition is associated with problems such as pelvic mass, cyclical abdominal discomfort, and difficulty in urination. The occurrence of IH is quite rare, with an incidence of only one in 1000-10,000 women worldwide. We discuss a classical case of primary amenorrhoea with associated complaints of urinary retention and its management by hymenotomy (cruciate incision). We also considered the risk of hymen re-closure due to the lack of estrogenization of genital tissue and offered the patient the option of vaginal molding.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11008086PMC
http://dx.doi.org/10.7759/cureus.56014DOI Listing

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Article Synopsis
  • Imperforate hymen is a rare congenital condition occurring in about 1 in 1,000 girls, often leading to complications like obstructive uropathy and constipation, which can delay diagnosis.
  • In a reported case of an 11-year-old girl, severe abdominal pain due to huge hematocolpos was addressed through physical examination, emphasizing the importance of early detection.
  • The treatment involved a surgical procedure that included hymenectomy, blood drainage, and hymenoplasty, allowing the patient to regain normal urinary and bowel functions soon after surgery and resume menstruation three weeks later.
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Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is a congenital disorder affecting the female reproductive system, primarily characterized by the absence or underdevelopment of the uterus and upper two-thirds of the vagina, with preserved ovarian function and normal secondary sexual characteristics. It is a rare disease though prevalence may vary based on genetic and environmental factors. This report details a case of a 26-year-old female patient with a history of smoking, alcohol use, and prior inguinal hernioplasty, presenting with primary amenorrhea and inability to engage in vaginal intercourse.

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Hematometrocolpos is a condition characterized by the accumulation of menstrual blood in the uterus and vagina due to an obstruction, often caused by congenital malformations such as vaginal atresia or imperforate hymen. A 12-year-old girl presented with acute pelvic pain and absence of menarche. Ultrasound ruled out ovarian pathology but revealed distension of the cervix and vagina.

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