What is a Hematocolpos?

Hematocolpos signifies accumulation of blood in a vagina occluded by an imperforate hymen.

How do you treat hematocolpos?

The surgical procedure of hymenotomy and evacuation of hematocolpos is performed in an outpatient setting. The patient and family should be instructed to expect continued drainage of dark, thick, old blood for several days to a week after the procedure. Mild cramping may occur as the hematometra resolves and evacuates.

What is the difference between hematometra and hematocolpos?

Obstruction within the distal vagina is usually responsible for the development of a hematocolpos. If there is a backup of blood or fluid in the vagina, this may extend into the uterine cavity and result in an associated hematometra.

How is hematocolpos diagnosed?

The diagnosis is easy, it is primarily clinical. Pelvic ultrasound and nuclear magnetic resonance are the complementary examinations to be performed as a preoperative assessment and to detect any associated genito-urinary malformations.

Can hematocolpos cause infertility?

Hematometrocolpos is a rare congenital abnormality of the female urogenital system that leads to an imperforate hymen and subsequent retrograde menstruation. Complications of hematometrocolpos include abdominal and pelvic pain, hydronephrosis from extrinsic compression of the ureters, and infertility.

Ultrasound Video showing a case of Hematocolpos.

How common is hematocolpos?

Transverse vaginal septa are relatively rare anomalies, occurring in about 1 in 70,000 girls. The diagnosis can be made at various ages, from neonates presenting with hydrocolpos to young women presenting with primary amenorrhea and pelvic pain due to the development of hematocolpos.

Are you put under for D&C?

Most D&Cs are done under general anesthesia. The procedure is typically very short, and general anesthetic can be quickly reversed, with the patient going home later the same day.

What does a hymen look like?

If the hymen is intact, it may look like a thin disc covering the opening of the vagina or a doughnut-shaped ring around the vagina (hymenal ring). If the hymen isn't fully covering the vaginal opening, it may look like a crescent or half-moon. Some hymens have small perforations or multiple openings.

Can I use a tampon with a septate hymen?

Your healthcare provider can diagnose and treat a septate hymen with a safe and effective surgery that removes extra tissue from your vagina. Most people who get treatment for a septate hymen can enjoy pain-free sex and use tampons regularly.

Can a girl be born without a uterus?

One in 5,000 women is born without a uterus—a condition called MRKH syndrome—making it impossible to carry a child. This is usually diagnosed during the adolescent years, and Dr. Kirtly Parker Jones says the first sign she looks for is the lack of a period.

How do you get rid of hematometra?

Hematometra is usually treated by surgical cervical dilation to drain the blood from the uterus. Other treatments target the underlying cause of the hematometra; for example, a hysteroscopy may be required to resect adhesions that have developed following a previous surgery.

What happens if hematometra goes untreated?

If left untreated, the infection may spread to the abdominal cavity (leading to peritonitis, the inflammation of the membrane lining the inside of the abdominal cavity) or to the bloodstream (causing sepsis).

Is hematometra serious?

Hematometra is a rare but potential cause of pelvic pain in women, especially those who may have undergone cervical procedures leading to scarring.

Why would you have a hymenectomy?

The most common reasons for a hymenectomy include: Improving the flow of your blood, secretions, and tissue out of the vagina during menstruation. Making it easier to use a tampon, especially removing one that has expanded with blood. Reducing pain or discomfort associated with vaginal penetration.

When do you do a hysteroscopy?

A hysteroscopy can be used to: investigate symptoms or problems – such as heavy periods, unusual vaginal bleeding, postmenopausal bleeding, pelvic pain, repeated miscarriages or difficulty getting pregnant. diagnose conditions – such as fibroids and polyps (non-cancerous growths in the womb)

Is hematometra an emergency?

The diagnosis of acute abdomen is one of the most daunting tasks in medicine. Acute abdominal pain is the reason for 5% to 10% of all emergency department visits. Hematometra is a rare cause of acute abdomen.

Can I give birth with a septate hymen?

Re: Septate Hymen

It is also very thin, so the idea it could in any way hurt you isn't based in reality. It also can easily be moved to the side for a Pap smear, for tampon use, for sex, and yep, for childbirth.

What does a septate hymen look like?

A “septate” hymen means there is extra hymeneal tissue (more hymen than usual) that looks like a band in the middle. Instead of one small opening in the center, there are two. A young woman with a septate hymen may have trouble inserting a tampon or have difficulty removing it once it is filled with blood.

How do you get rid of a septate hymen?

Often no treatment is required as the hymen may be torn with insertion of a tampon or with sexual intercourse. A minor surgical procedure can be used to remove the extra tissue if needed.

How do you do a two finger test?

What Is a Two-Finger Test? A "per vaginal" or two-finger test is an explicitly intrusive physical examination wherein a doctor inserts two fingers inside the vagina of a rape survivor to check if the hymen is intact or not.

Can hymen grow back?

No, the hymen can't grow back once it's been stretched open. The hymen is a thin, fleshy tissue that stretches across part of the opening of your vagina. The hymen can be stretched open the first time you have vaginal sex. Vaginal sex isn't the only thing that can open your hymen.

Can a tampon break a hymen?

Tampons work just as well for girls who are virgins as they do for girls who have had sex. And even though using a tampon can occasionally cause a girl's hymen to stretch or tear, it does not cause a girl to lose her virginity. (Only having sex can do that.)

How painful is a D&C?

The procedure shouldn't be painful. However, you may experience some cramping during the procedure. Your doctor may order some type of sedative for you to take beforehand so that you'll be more relaxed. The extent of anesthesia you need will depend on the purpose of your hysteroscopy.

Is a D&C a major surgery?

A D&C is a minor surgical procedure to remove tissue from the uterus (womb). A gynecologist or obstetrician performs this surgery in their office or a surgery center. It's usually an outpatient procedure, so you go home the same day.

How long does a D&C procedure take?

During a D&C, the cervix is opened gently so that tissue can be removed, usually with a scraping or suction tool. A D&C may be done in a hospital or clinic. The procedure usually takes 15 to 30 minutes. You will probably go home the same day.