Congenital absence of vaginal Infertility

Vulvar and vaginal diseases caused by infertility infertility accounts for 1% to 5%. Vaginal intercourse and semen is the receptivity for certain genital, vaginal or organic disorders affect the semen or sperm entered and stored in the vagina, or because of its environmental changes affect the normal sperm function, leading to infertility. Congenital absence of the vagina in the embryonic period of about 7-10 weeks sexual differentiation formation, and both Vice renal tube together, the tail end of its stagnation or stunted development not downward whose first congenital absence of the vagina, often associated with congenital absence of uterus or uterine First Principle, occasionally a normal development of the uterus. Ovarian from reproductive ridge, while very little involvement, usually the normal development and function. Congenital absence of the vagina is Rokitansdy - Kuster-Hauser syndrome ( R-K-H syndrome), one of the clinical manifestations. Clinical manifestations of primary amenorrhea -- also under cyclical abdominal pain, such as sexual intercourse not married. Check female phenotype, genital normal, because there are no simple vaginal Waterloo; First Principle without a uterus or uterine malformations, merger urinary system or skeletal deformities. An ovarian function in the normal range. Diagnosis and differential diagnosis, according to history, pelvic examination, pelvic ultrasound scan and renal, endocrine determination Karyotype analysis or PCR technique can detect genetic diagnosis. While for X-ray angiography urinary system for determining the presence of abnormalities, skeletal radiography whether deformities. With the secondary vaginal stenosis or atresia differential treatment of patients, according to the development of the uterus. to determine the time and method. 1. By the time the treatment of patients with a detailed examination of the nearly normal uterus, normal ovarian function, should the election menarche after surgery to facilitate drainage of menstrual blood, sexual intercourse by promising treatment intrauterine pregnancy. Without the First Principle uterus or womb as sterile possible, preferably before marriage after the election is held artificially vaginoplasty. major sexual life problems. 2. Methods (1) vaginoplasty : larger operation, such as the labia minora flap vaginoplasty. inner thigh skin vaginoplasty, sigmoid vaginoplasty, peritoneal vaginoplasty so. Specific reference method gynecological surgery study. Once after pregnancy should focus on guardianship, near the expected date of the election period should be cesarean section. (2) Top Method : sterile possible, some kind of vaginal Blind bag, according to the will of the patient, try the top local pressure, if the test tube with a round bottom blunt kind of mold their own long-term top pressure, sex life can gradually increase. If not for the surgery to create a better condition.