What causes Hematometrocolpos?

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Hematometrocolpos is caused by an imperforate hymen and subsequent retrograde menstruation. It presents in young women and can have damaging consequences. What makes this presentation of disease reportable? Imperforate hymen is a congenital abnormality that is rarely seen in the emergency department.

How is Hematometrocolpos treated?

Treatment consists of hymenectomy and drainage. When complications are found (f.i. hydronephrosis or evidence of perforation), management may include more urgent treatment. In conclusion, hemato(metro)colpos is an accumulation of blood in the vagina (and uterus), mostly due to an imperforate hymen.

What is Hematometrocolpos?

Hematometrocolpos is a rare condition which occurs when the uterus fills with menstrual blood. Symptoms are typically a lack of a menstrual period, recurrent pelvic pain, and a pelvic mass.

What is imperforate hymen symptoms?

What are the symptoms of imperforate hymen in young girls? Common symptoms include: lack of a first menstrual cycle. abdominal pain, back pain, or difficulty with urination at the time of her first period when the blood backs up in the vaginal canal.

How is hematocolpos diagnosed?

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. Often, women might have a normal hymeneal opening but this wall of tissue might be blocking the access to the vaginal canal.

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.

What does hematometra feel like?

Patients with a hematometra generally complain of labor-like cramps. Cyclical pain occurs among ovulating women with fluid collection, pelvic pressure, or abdominal pain. Bleeding, if present, is usually scant and erratic.

Do girls with imperforate hymen menstruate?

In a pubescent girl, lack of a first menstrual period may be a sign of an imperforate hymen. An imperforate hymen typically doesn’t cause any problems until a girl gets her period. At this point, the hymen membrane can block menstrual blood from flowing out of the vagina.

Can I get pregnant with imperforate hymen?

Abstract. Pregnancy success was evaluated in 48 women following surgical correction of a vaginal obstruction due to imperforate hymen (N = 22) or to a complete transverse vaginal septum (N = 26). Pregnancy success was more likely to occur following surgical correction of imperforate hymen (P less than . 05).

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.

Does hematometra cause back pain?

Reproductive tract (Mullerian) anomalies causing an accumulation of menstrual blood in the vagina, uterus, and fallopian tubes represent an unusual extraspinal cause of low-back pain. The accumulation of blood in these cavities is termed hematocolpos, hematometra, and hematosalpinx.

How do I know if I have hematometra?

The diagnosis of hematometra is generally suspected by the history of amenorrhea and cyclic abdominal pain. The diagnosis is usually confirmed by vaginal ultrasound or probing the cervix with a narrow metal dilator, with release of dark brownish black blood from the endocervical canal.

What is a hematometrocolpos and what are the symptoms?

Hematometrocolpos is a rare condition which occurs when the uterus fills with menstrual blood. Symptoms are typically a lack of a menstrual period, recurrent pelvic pain, and a pelvic mass.

What are the symptoms of kidney disease?

You’re more tired, have less energy or are having trouble concentrating. A severe decrease in kidney function can lead to a buildup of toxins and impurities in the blood. This can cause people to feel tired, weak and can make it hard to concentrate. Another complication of kidney disease is anemia, which can cause weakness and fatigue.

Can an imperforate hymen cause hematometrocolpos?

Background: Hematometrocolpos caused by an imperforate hymen is a common form of vaginal outflow obstruction. This is a rare pediatric anomaly that can present with atypical or vague symptomatology, such as abdominal pain or constipation or urinary retention in the setting of amenorrhea.