Haematocolpos

Haematocolpos is a medical condition characterized by the accumulation of menstrual blood in the vagina, often caused by an imperforate hymen or other congenital anomalies of the female reproductive system. This condition can lead to severe abdominal pain and other complications if not treated promptly.

Causes

The primary cause of haematocolpos is an imperforate hymen, a condition where the hymen, a thin membrane that partially covers the vaginal opening, has no natural opening. Other causes can include other congenital anomalies of the female reproductive system, such as a transverse vaginal septum.

Symptoms

The most common symptom of haematocolpos is severe abdominal pain, which can be accompanied by other symptoms such as a mass in the lower abdomen, urinary retention, constipation, and, in severe cases, symptoms of shock.

Diagnosis

Diagnosis of haematocolpos is typically made through a combination of physical examination, ultrasound, and, in some cases, MRI. The physical examination may reveal a mass in the lower abdomen, and ultrasound or MRI can confirm the presence of accumulated blood in the vagina.

Treatment

Treatment for haematocolpos typically involves surgical intervention to create an opening in the hymen or remove the obstruction causing the condition. This is usually followed by regular follow-up to ensure that the condition does not recur.

See also

• Imperforate hymen
• Menstruation
• Female reproductive system

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