What tests should be done for congenital absence of vagina

Congenital absence of vagina is caused by internal or external factors that hinder the embryo's development, or by gene mutation, which causes abnormal development of the paramesonephric duct. The most common syndrome patients are characterized by normal female chromosome karyotype, normal systemic growth and female secondary sexual characteristics, normal vulva, vaginal absence, uterine development, small fallopian tubes, and normal ovarian development and function. Testicular feminization is relatively rare. Very few are true hermaphroditism or gonadal dysgenesis. What tests should be done for congenital absence of vagina?

1. Gynecological examination: vestibular depression examination method or vestibular pressure mark depth: in addition to observing the morphological development of the vulva, you should wear gloves, apply paraffin oil on your index finger, gently press the vaginal vestibule, and gradually press deeper to determine the depth of the vestibule depression, which is meaningful for deciding the surgical method.

2. Rectal examination: Determine whether there is a uterus, the size of the uterus, and whether there is tenderness. Generally, the primordial uterus on both sides of the pelvic wall is difficult to touch, and only the trace uterus behind the bladder can be touched as a small nodular mass. If an enlarged uterus is touched and tender, it is mostly due to uterine menstrual blood retention, which is extremely rare.

3. B-ultrasound examination: It is the most important and simplest auxiliary examination, which can determine whether there is a vaginal gas line, the size of the uterus, the size of the ovaries, and the existence and position of the kidneys.

4. Other examinations: A small number of patients need to undergo radiography or CT examinations to identify deformities in the urinary system or skeletal spine.

Please pay attention to congenital absence of vagina and actively check for congenital absence of vagina in life. By doing the above points, you can prevent the occurrence of congenital absence of vagina to a great extent.