Two Cases of Microperforation of the Transverse Vaginal Septum

Primary amenorrhoea with microperforate transverse vaginal septum is a rare entity with varied incidence in different parts of the world. It may be asymptomatic, unlike imperforate hymen. Depending on the size of the microperforation in transverse vaginal septum clinical features may vary similar to...

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Main Authors: Sangeeta Rai, Royana Singh
Format: Article
Language:English
Published: Faculty of Medicine, UKM Medical Centre 2015
Online Access:http://journalarticle.ukm.my/9296/
http://journalarticle.ukm.my/9296/1/08-MS1215-Sangeeta%2520R%2520%26%2520Royana%2520S.pdf
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author Sangeeta Rai,
Royana Singh,
author_facet Sangeeta Rai,
Royana Singh,
author_sort Sangeeta Rai,
building UKM Institutional Repository
collection Online Access
description Primary amenorrhoea with microperforate transverse vaginal septum is a rare entity with varied incidence in different parts of the world. It may be asymptomatic, unlike imperforate hymen. Depending on the size of the microperforation in transverse vaginal septum clinical features may vary similar to those found in imperforate hymen cases. We report two cases of a 25 and 22-year-old women who sought the gynaecologist with complains of primary infertility. They had normal menses with one of them having secondary dysmenorrhea. Physical examination and imaging disclosed microperforation of transverse vaginal septum in the upper part of the vagina at mid point position. Resection of the septum under anesthesia was done. The outcome was favourable and 25 year asymptomatic patient with primary infertility at the present moment have conceived carrying six weeks pregnancy and second patient is in follow up. We conclude that this anomaly may be overlooked, interfering on its incidence determination. The finding of transverse vaginal septum in an asymptomatic infertility patient is highly unusual. Clinicians must be aware of atypical presentations and potential multifactorial etiologies of primary infertility. Ensuring a thorough evaluation is essential in order to mitigate long-term effects of a misdiagnosis.
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spelling oai:generic.eprints.org:92962016-12-14T06:49:29Z http://journalarticle.ukm.my/9296/ Two Cases of Microperforation of the Transverse Vaginal Septum Sangeeta Rai, Royana Singh, Primary amenorrhoea with microperforate transverse vaginal septum is a rare entity with varied incidence in different parts of the world. It may be asymptomatic, unlike imperforate hymen. Depending on the size of the microperforation in transverse vaginal septum clinical features may vary similar to those found in imperforate hymen cases. We report two cases of a 25 and 22-year-old women who sought the gynaecologist with complains of primary infertility. They had normal menses with one of them having secondary dysmenorrhea. Physical examination and imaging disclosed microperforation of transverse vaginal septum in the upper part of the vagina at mid point position. Resection of the septum under anesthesia was done. The outcome was favourable and 25 year asymptomatic patient with primary infertility at the present moment have conceived carrying six weeks pregnancy and second patient is in follow up. We conclude that this anomaly may be overlooked, interfering on its incidence determination. The finding of transverse vaginal septum in an asymptomatic infertility patient is highly unusual. Clinicians must be aware of atypical presentations and potential multifactorial etiologies of primary infertility. Ensuring a thorough evaluation is essential in order to mitigate long-term effects of a misdiagnosis. Faculty of Medicine, UKM Medical Centre 2015-12-14 Article PeerReviewed application/pdf en http://journalarticle.ukm.my/9296/1/08-MS1215-Sangeeta%2520R%2520%26%2520Royana%2520S.pdf Sangeeta Rai, and Royana Singh, (2015) Two Cases of Microperforation of the Transverse Vaginal Septum. Journal of Surgical Academia, 5 (2). pp. 40-43. ISSN 2231-7481 http://jsurgical.com
spellingShingle Sangeeta Rai,
Royana Singh,
Two Cases of Microperforation of the Transverse Vaginal Septum
title Two Cases of Microperforation of the Transverse Vaginal Septum
title_full Two Cases of Microperforation of the Transverse Vaginal Septum
title_fullStr Two Cases of Microperforation of the Transverse Vaginal Septum
title_full_unstemmed Two Cases of Microperforation of the Transverse Vaginal Septum
title_short Two Cases of Microperforation of the Transverse Vaginal Septum
title_sort two cases of microperforation of the transverse vaginal septum
url http://journalarticle.ukm.my/9296/
http://journalarticle.ukm.my/9296/
http://journalarticle.ukm.my/9296/1/08-MS1215-Sangeeta%2520R%2520%26%2520Royana%2520S.pdf