Hematocolpos; condition where menstrual blood accumulates in the vagina скачать в хорошем качестве

Hematocolpos; condition where menstrual blood accumulates in the vagina

🩸 Hematocolpos: When Menstrual Blood Has No Way Out Hematocolpos is a gynecological condition where menstrual blood accumulates in the vagina due to an obstruction of outflow. It’s most commonly seen in adolescent girls who have reached puberty but haven’t started menstruating due to a congenital anomaly like an imperforate hymen2. 🚨 Key Symptoms Primary amenorrhea (no periods despite puberty) Lower abdominal or pelvic pain Urinary retention or constipation from pressure on nearby organs Vaginal bulging or fullness Back pain and bloating 🧬 Common Causes Cause Description Imperforate Hymen Most frequent cause; hymen completely blocks menstrual flow2 Transverse Vaginal Septum A horizontal wall of tissue obstructs the vaginal canal Vaginal or Cervical Atresia Congenital absence or narrowing of vaginal/cervical canal Acquired Obstructions Scarring from surgery, radiation, or trauma 🧪 Diagnosis Pelvic exam to assess anatomical abnormalities Ultrasound to detect fluid-filled vaginal distension MRI for detailed imaging of congenital anomalies Medical history focusing on menstrual patterns and puberty milestones 🔧 Treatment Options Surgical intervention is the mainstay: Hymenotomy for imperforate hymen Septum resection for transverse vaginal septum Canalization or hysterectomy in complex cases like cervical atresia Post-op care includes vaginal dilators to prevent re-obstruction Pain management and psychological support, especially for adolescents 🧠 Related Conditions Hematometra: Blood accumulation in the uterus Hematometrocolpos: Combined uterine and vaginal distension Mucometrocolpos: Mucus accumulation behind an imperforate hymen #Hematocolpos