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Cryptomenorrhea, also known as hematocolpos, is a condition where menstruation occurs but is not visible due to an obstruction of the outflow tract. Specifically, the endometrium is shed, but a congenital obstruction such as a vaginal septum or on part of the hymen retains the menstrual flow. A patient with cryptomenorrhea will appear to have amenorrhea but will experience cyclic menstrual pain. The condition is surgically correctable. The patient usually presents at the age of puberty when the commencement of menstruation blood gets collected in the vagina and gives rise to symptoms.

Asked: 4 years agoIn:
Nasim

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cryptomenorrhoeamanagement
  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala

    Managing cryptomenorrhea (hidden menstruation) involves addressing the underlying cause and providing appropriate treatment. Here are the steps: 1. Diagnosis: Confirm the diagnosis using ultrasound to visualize the retained menstrual blood and identify any obstructions like an imperforate hymen or vRead more

    Managing cryptomenorrhea (hidden menstruation) involves addressing the underlying cause and providing appropriate treatment. Here are the steps:

    1. Diagnosis: Confirm the diagnosis using ultrasound to visualize the retained menstrual blood and identify any obstructions like an imperforate hymen or vaginal septum.
    2. Surgical Intervention: The primary treatment is surgical correction to allow the menstrual blood to flow out. This may involve:

    -Cruciate Incision: A simple incision followed by excision of hymenal tags to allow drainage.
    -Z-Plasty: For thicker transverse vaginal septum, a Z-plasty may be performed to create a wider opening.
    -Vaginoplasty: In cases of a blind vagina, partial or complete vaginoplasty may be required.
    3. Post-Surgical Care: Monitor for complications such as hematosalpinx (blood in the fallopian tubes) and provide appropriate treatment, which may include laparoscopy or laparotomy.
    4. Follow-Up: Regular follow-up to ensure proper healing and to address any residual symptoms or complications.

    It’s important to consult with a gynecologist or a specialist in reproductive health for personalized care and management.

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Asked: 4 years agoIn:
Nasim

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cryptomenorrhoeapatho-physiology
  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala

    Cryptomenorrhea, also known as "hidden menstruation," occurs when menstrual blood is produced but cannot exit the body due to an obstruction, such as an imperforate hymen or vaginal septum. Here’s a breakdown of the pathophysiology: 1. Menstrual Blood Production: The endometrium (lining of the uteruRead more

    Cryptomenorrhea, also known as “hidden menstruation,” occurs when menstrual blood is produced but cannot exit the body due to an obstruction, such as an imperforate hymen or vaginal septum. Here’s a breakdown of the pathophysiology:

    1. Menstrual Blood Production: The endometrium (lining of the uterus) sheds its lining during menstruation, producing menstrual blood.
    2. Obstruction: A congenital obstruction, such as an imperforate hymen or vaginal septum, blocks the outflow of menstrual blood.
    3. Accumulation: The menstrual blood accumulates in the vagina (hematocolpos) or uterus (hematometra), leading to symptoms.
    4. Symptoms: Symptoms include cyclic lower abdominal pain, a bulging bluish membrane at the vaginal opening, and sometimes urinary retention.
    5. Complications: If untreated, it can lead to complications like endometriosis, infertility, and urinary retention.

    Treatment typically involves surgically removing the obstruction to allow menstrual blood to flow normally.

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Asked: 4 years agoIn:
Nasim

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causescryptomenorrhoea
  1. Dr Md shahriar kabir B H M S; MPH
    Dr Md shahriar kabir B H M S; MPH Enlightened dr.basuriwala

    Cryptomenorrhea, also known as "hidden menstruation," occurs when menstruation happens but the blood is not visible due to an obstruction in the outflow tract. Common causes include: 1. Imperforate Hymen: A condition where the hymen completely covers the vaginal opening, preventing menstrual blood fRead more

    Cryptomenorrhea, also known as “hidden menstruation,” occurs when menstruation happens but the blood is not visible due to an obstruction in the outflow tract. Common causes include:
    1. Imperforate Hymen: A condition where the hymen completely covers the vaginal opening, preventing menstrual blood from exiting.
    2. Vaginal Septum: A congenital condition where a wall of tissue divides the vagina, blocking the flow of menstrual blood.
    3. Mayer-Rokitansky-Küster-Hauser (MRKH) Syndrome: A genetic disorder that can cause abnormalities in the reproductive tract, leading to cryptomenorrhea.
    4. Uterine Didelphys: A rare congenital condition where a woman has two uteri, leading to potential blockage of menstrual flow.

    These conditions can lead to symptoms like cyclical abdominal pain and primary amenorrhea (absence of menstruation by age 15). Diagnosis often involves imaging tests like ultrasound or MRI, and treatment typically includes surgical intervention to remove the obstruction.

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