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Plastic Surgery | Reconstructive Surgery

PROCEDURE : SURGICAL

What is vaginal agenesis?
  • Vaginal agenesis is a congenital condition where the vagina does not develop properly.
  • This condition may also affect other reproductive organs such as the uterus and fallopian tubes.
  • It is often not diagnosed until puberty due to the absence of menstruation.
How common is vaginal agenesis?
  • Vaginal agenesis occurs in about 1 in every 5,000 individuals assigned female at birth.
  • It is often accompanied by other abnormalities, such as issues with the kidneys or spine.
What causes vaginal agenesis?
  • The exact cause of vaginal agenesis is unknown.
  • It may be related to genetic factors or environmental exposure during pregnancy.
  • The condition can be associated with syndromes like MRKH or Androgen Insensitivity Syndrome (AIS).
Before
After
What are the symptoms of vaginal agenesis?
Symptoms include:
  • Absence of menstruation by age 15 (amenorrhea).
  • Pain during intercourse due to a shortened vaginal canal.
  • Presence of a dimple where the vaginal opening should be.
How is vaginal agenesis diagnosed?
  • Diagnosis typically occurs during puberty when menstruation doesn’t begin.
  • Physical examination and imaging tests like ultrasound and MRI are used for diagnosis.
  • Blood tests may be conducted to identify any associated genetic conditions.
What are the treatment options for vaginal agenesis?
Treatment may involve:
  • Surgery: Procedures like vaginoplasty to create a functional vagina.
  • Post-treatment care: Use of a dilator or regular sexual activity to maintain the vaginal canal.
Dr. Aakansha
What is the prognosis for individuals with vaginal agenesis?
  • With appropriate treatment, many individuals can lead normal lives, including a satisfying sex life.
  • Fertility may be impacted, especially if other reproductive organs are affected.
What complications can arise from vaginal agenesis?
  • Vaginal stenosis, where the vaginal canal narrows over time.
  • Emotional and psychological challenges, especially related to sexual health and fertility.
When should I seek medical advice for vaginal agenesis?
It is important to consult a healthcare provider if:
  • Menstruation has not started by age 15.
  • There is pain or abnormality in the vaginal area.
What should I ask my healthcare provider about vaginal agenesis?
Important questions may include:
  • What are my treatment options?
  • How will this condition affect my fertility?

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