AGENESIS OF VAGINA

PARTIAL AGENESIS OF UPPER VAGINA: - A segment of vagina may be atretic in the upper-third. It is often associated with hypoplasia or even absence of cervix. Uterus may be normal and functioning or malformed. Primary amenorrhoea (cryptomenorrhea), hematometra, hematocolpos, cyclic lower abdominal pain and presence of lower abdominal mass (as felt per abdomen or per rectum) point to the diagnosis.

Currently, abdominovaginal approach is made to establish communication between the uterovaginal canal above and the newly created vagina below. Prosthesis is used to prevent restenosis. The result is, however, not always satisfactory though successful pregnancy and live birth have been reported. When hysterectomy is considered, ovaries should be conserved. This gives the benefit of endogenous estrogen.

COMPLETE AGENESIS: -

Complete agenesis of the vagina is almost always associated with absence of uterus. There is, however, presence of healthy gonads and fallopian tubes. The patient is phenotypically female, with normal female karyotype pattern. The entity is often associated with urinary tract (40%) and skeletal (12%) malformation. This is called Mayer-RokitanskyKüster-Hauser syndrome. The patient usually seeks advice for primary amenorrhea and dyspareunia.

HOMEOPATHY IN MANAGING VAGINAL COMPLICATIONS: -

Therapeutics needs to be maintained here for tackling vaginal complications. There are many Homoeopathic remedies which help as therapeutics are: -

• Agnus castus
• Alumina
• Ambra grisea
• Ammonium mur
• Apis Mel
• Arsenic album
• Belladonna
• Borax etc.