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A vaginal septum is a vaginal anomaly that is partition within the vagina; such a septum could be either longitudinal or transverse. Most are apparent during a pelvic exam. Pain during intercourse can be a symptom.

Vaginal septum
Classification and external resources
ICD-10 Q52.1
ICD-9-CM 752.49, 752.47, 752.46

Longitudinal septum – double vaginaEdit

A longitudinal vaginal septum develops during embryogenesis when there is an incomplete fusion of the lower parts of the two Müllerian ducts. As a result, there is a double vagina, side by side. There may be associated duplications of the more cranial parts of the Müllerian derivatives, a double cervix, and either a uterine septum or uterus didelphys (double uterus).[1][2]

Transverse septumEdit

A transverse septum can form during embryogenesis when the Müllerian ducts fuse improperly to the urogenital sinus. A complete transverse septum will block the vaginal passage and menstrual flow and is a cause of primary amenorrhea. The accumulation of menstrual debris behind the septum is termed cryptomenorrhea. Some transverse septa are incomplete and may lead to dyspareunia or obstruction in labour.[3]

ReferencesEdit

  1. ^ Heinonen, Pentti K. (March 2006). "Complete septate uterus with longitudinal vaginal septum". Fertil. Steril. 85 (3): 700–5. doi:10.1016/j.fertnstert.2005.08.039. PMID 16500341. 
  2. ^ Perez-Brayfield MR, Clarke HS, Pattaras JG (September 2002). "Complete bladder, urethral, and vaginal duplication in a 50-year-old woman". Urology. 60 (3): 514. doi:10.1016/S0090-4295(02)01808-3. PMID 12350504. 
  3. ^ Üstün Y; Üstün YE; Zeteroğlu Ş; Şahin G; Kamacı M (2005). "A Case of Transverse Vaginal Septum Diagnosed During Labour" (PDF). Erciyes Medical Journal. 27 (3): 136–138.