Congenital Structural Abnormalities Flashcards
1
Q
outline the 4 congenital structural abnormalities that can occur
A
- bicornuate uterus
- imperforate hymen
- vaginal agenesis
- transverse vaginal septae
2
Q
what is bicornuate uterus?
A
where there are 2 horns to the uterus
3
Q
complications of bicornuate uterus?
A
pregnancy related:
- miscarriage
- premature birth
- malpresentation
4
Q
what is an imperforate hymen?
A
when the hymen at opening of vagina is completely formed without any opening
5
Q
diagnosis of imperforate hymen?
A
- typically when girls start to menstruate & blood cannot escape–> can lead to retrograde menstruation
- diagnosed by simple examination
6
Q
treatment of imperforate hymen?
A
surgical incision to create opening
7
Q
what is transverse vaginal septae?
A
septal wall forms transversely across vagina
8
Q
how does transverse vaginal septum present?
A
- perforate- girls will menstruate but may have difficulty inserting tampon or having sex
- imperforate- as imperforate hymen
9
Q
diagnosis and mx of transverse vaginal septae?
A
- simple examination, US or MRI
- Mx= surgical correction
10
Q
what is vaginal agenesis?
A
absence of vagina- ovaries remain in place so female sexual hormones are unaffected
