How we can manage a case of cryptomenorrhoea?
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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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