Cryptomenorrhea Due to Acquired Mid-Vaginal Atresia: A Case Report Treated by Vaginoplasty and Serial Vaginal Dilatation

Abstract

We report a case of a 19 - year old Para 0+2, single sales girl who presented with 2-year history of amenorrhea and cyclical lower abdominal pain for 1 year following insertion of herbal concoctions in the vaginal aimed at terminating an unwanted pregnancy. There was associated loss of sexual function and dyspareunia. Examination revealed mid-vaginal atresia with vaginal length of about 4 cm. Ultrasound showed hematometria and hematocolpos. She had vaginoplasty with serial vaginal dilatation using soft vaginal mould for 4 weeks. She did well on follow up with finding of normal size empty uterus and well-defined endometrial plate on ultrasound. She menstruated 2 weeks postoperatively and established normal penetrative vaginal intercourse thereafter.