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Background: Although vaginal stenosis following pelvic or vaginal radiotherapy for cancer treatment is a common complication, postpartum vaginal stenosis is a very rare obstetric complication. We report two cases of postpartum vaginal stenosis.

Case Presentation: The first was case was a 30-year-old para-I Ethiopian woman who presented with a history of foul-smelling vaginal discharge on her 11th postpartum day.

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Reproductive health challenges of an African school girl: a case report on non-bulging imperforate hymen with haematocolpometra during Covid-19 pandemic.

Afr Health Sci

September 2023

Department of Obstetrics and Gynaecology, School of Clinical Medicine, Faculty of Health Sciences, University of the Witwatersrand, Johannesburg, South Africa.

Article Synopsis
  • - Several schoolgirls face undiagnosed gynecological issues, such as precocious puberty and reproductive tract abnormalities, leading to physical and psychological challenges, especially as they reach reproductive age.
  • - A case study of a 14-year-old girl during the COVID-19 pandemic revealed that she suffered from acute pelvic pain due to an imperforate hymen, which required surgical intervention.
  • - Conclusions suggest that a wider surgical approach during hymenectomy is more effective in preventing complications, highlighting the need for community education and timely diagnosis to address the implications of such conditions in African cultures.
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An imperforate hymen is a rare malformation present at birth; however, in most cases, diagnosis is missed until adolescence, when hematocolpometra and its symptoms develop. At this stage, every further delay in diagnosis and treatment will negatively affect the quality of life of young females. It may also be one of the causes of endometriosis and its consequences, such as subfertility.

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Background: Imperforate hymen is a rare obstructive anomaly of the female reproductive tract. It is associated with complications, such as cyclical abdominal pain, urinary retention, and pelvic mass.

Case Summary: A 13-year-old girl presented several times to the emergency room with lower abdominal pain for a year.

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