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Hematocolpos is a medical condition in which the vagina fills with menstrual blood. It is often caused by the combination of menstruation with an imperforate hymen.[1][2] It is sometimes seen in Robinow syndrome, uterus didelphys, or other vaginal anomalies.

SpecialtyGynaecology Edit this on Wikidata

A related disorder is hematometra, where the uterus fills with menstrual blood.[3] It presents after puberty as primary amenorrhoea, recurrent pelvic pain with a pelvic mass. This can be caused by a congenital stenosis of the cervix, or by a complication of a surgical treatment.[4] Mucometrocolpos is the accumulation of mucous secretions behind an imperforate hymen.[5][6] Mucometrocolpos can sometimes cause abdominal distention.[7][8][9][10]




There can be four possible causes of hematocolpos[12]


It is generally treated surgically, with a hymenotomy or other surgery to remove any tissue that blocks the menstrual flow.


  1. ^ Kloss, Brian T.; Nacca, Nicholas E.; Cantor, Richard M. (6 May 2010). "Hematocolpos secondary to imperforate hymen". International Journal of Emergency Medicine. 3 (4): 481–482. doi:10.1007/s12245-010-0171-2. PMC 3047835. PMID 21373333.
  2. ^ TOMPKINS, PENDLETON (2 September 1939). "THE TREATMENT OF IMPERFORATE HYMEN WITH HEMATOCOLPOS". Journal of the American Medical Association. 113 (10): 913–916. doi:10.1001/jama.1939.02800350023007.
  3. ^ Smith, Roger Perry (2008-01-01). Netter's Obstetrics and Gynecology. Elsevier Health Sciences. ISBN 978-1416056829.
  4. ^ Verma, SK; Baltarowich, OH; Lev-Toaff, AS; Mitchell, DG; Verma, M; Batzer, F (Jul 2009). "Hematocolpos secondary to acquired vaginal scarring after radiation therapy for colorectal carcinoma" (PDF). Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine. 28 (7): 949–53. PMID 19546336.
  5. ^ Yapar, E. G.; Ekici, E.; Aydogdu, T.; Senses, E.; Gökmen, O. (1996-12-18). "Diagnostic problems in a case with mucometrocolpos, polydactyly, congenital heart disease, and skeletal dysplasia". American Journal of Medical Genetics. 66 (3): 343–346. doi:10.1002/(SICI)1096-8628(19961218)66:33.0.CO;2-M (inactive 2019-01-18). ISSN 0148-7299. PMID 8985498.
  6. ^ Babcock, Diane S. (January 1989). Neonatal and pediatric ultrasonography. Churchill Livingstone. ISBN 9780443086069.
  7. ^ Saclarides, Theodore J.; Myers, Jonathan A.; Millikan, Keith W. (2015-01-02). Common Surgical Diseases: An Algorithmic Approach to Problem Solving. Springer. ISBN 9781493915651.
  8. ^ Kaiser, Georges L. (2012-12-13). Symptoms and Signs in Pediatric Surgery. Springer Science & Business Media. ISBN 9783642311611.
  9. ^ Stevenson, Roger E. (2015-10-27). Human Malformations and Related Anomalies. Oxford University Press. ISBN 9780199386031.
  10. ^ Dosedla, Erik; Kacerovsky, Marian; Calda, Pavel (2011-03-01). "Prenatal diagnosis of hydrometrocolpos in a down syndrome fetus". Journal of Clinical Ultrasound. 39 (3): 169–171. doi:10.1002/jcu.20785. ISSN 1097-0096. PMID 21387330.
  11. ^ a b c d e f g Kotter, Haleigh; Weingrow, Daniel; Canders, Caleb (2017-07-28). "Hematometrocolpos in a Pubescent Girl with Abdominal Pain". Clinical Practice and Cases in Emergency Medicine. 1 (3): 218–220. doi:10.5811/cpcem.2017.3.33369. ISSN 2474-252X. PMC 5965174. PMID 29849312.
  12. ^ "Most common cause of hematocolpos (LQ)A cervical atresiaB vaginal atresiaC transverse vaginal septumD imperforate hymen - Flash cards Miscellaneous - Dr. Bhatia Medical Coaching Institute Pvt. Ltd. - Dr Bhatia Medical Coaching Institute". GradeStack Courses. Retrieved 2018-10-27.

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