Severe atrophic vaginitis causing vaginal synechiae and hematocolpos at menopause

Segal, Saya; Harvie, Heidi S.; Siegelman, Evan S.; Arya, Lily A.

doi:10.1097/gme.0b013e3181f3285a

Cited by 5 publications

(3 citation statements)

References 8 publications

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“…A search of Medline did not find a case of vaginal stenosis complicated by Sheehan’s syndrome, but there was an unusual case of vaginal synechiae in a menopausal woman who had severe atrophic vaginitis [4]. Estrogen is believed to largely affect the female genital organs, as it maintains elasticity and rich collagen production in the vaginal tissues and has a moisturizing effect in the vagina.…”

Section: Discussionmentioning

confidence: 99%

Complete vaginal outlet stenosis in a patient with Sheehan’s syndrome

Choo

Park

2016

Obstet Gynecol Sci

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We present a case of complete vaginal stenosis in a woman diagnosed with Sheehan’s syndrome. The patient delivered at full-term 5 months prior, and experienced massive postpartum bleeding at that time. During evaluation of persistent amenorrhea, we found that her vaginal orifice was completely adhesive and obstructed. Prior to corrective surgery, we managed the patient with an oral contraceptive to induce uterine bleeding into the vaginal outflow tract. After three cycles of an oral contraceptive, we could confirm that there was no stenotic lesion in the vaginal cavity as a hematocolpos was created. Adhesiolysis with scar revision for the vaginal stenosis was successfully performed; it was found that the lesion was limited to only the distal part of the vaginal outlet. Complete vaginal stenosis in reproductive age women with hypopituitarism has not been reported. The artificial induction of hematometrocolpos before surgery was useful in determining the extent of the stenotic lesion, and assured safety.

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Section: Discussionmentioning

confidence: 99%

Complete vaginal outlet stenosis in a patient with Sheehan’s syndrome

Choo

Park

2016

Obstet Gynecol Sci

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“…Also, this film was used to evaluate the presence of clue cells, which are vaginal epithelial cells with adherent coccobacilli. An increased number of round parabasal cells was considered a sign of atrophic vaginitis [12] , [13] . A third slide was used for Gram-stain; prepared mounts were examined and quantified for Lactobacillus , Bacteroides/Gardnerella , and Mobiluncus for calculation of Nugent's score [14] .…”

Section: Methodsmentioning

confidence: 99%

A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection

Shawaky,

Al Shammari,

Sewelliam

et al. 2022

AIMSMICRO

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<abstract><sec> <title>Background</title> Many infectious and noninfectious triggers lead to inflammation of the vagina. </sec><sec> <title>Aim</title> We investigated the prevalence of causative vaginitis microorganisms in 516 pregnant and nonpregnant female volunteers. Vaginal samples were examined microscopically, cultured and tested for different pathogens. </sec><sec> <title>Results</title> Of the participants, 310 (60.1%) were pregnant, whereas 206 (39.9%) were nonpregnant. Using Amsel's criteria and Nugent's scores, bacterial vaginosis (BV) was diagnosed in 59.1%, and the prevalence of vulvovaginal candidiasis (VVC) was 50.2% in the population. <italic>Candida</italic> infections were significantly higher in nonpregnant females (p value ≤ 0.01), and 24% of females had mixed infections. The most common mixed infection was BV and <italic>Candida</italic> spp., detected in 21% of the cases. </sec><sec> <title>Conclusions</title> Bacterial vaginosis is the most common cause of vaginitis. We observed that 24% of females experienced mixed infections, and <italic>Candida albicans</italic> was the most common fungal species causing VVC. <italic>Trichomonas vaginalis</italic> prevalence was underestimated using wet mounts. </sec></abstract>

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“…(2011) продемонстрировали клинический случай у женщины 53 лет, проявляющийся сращением передней и задней стенок влагалища в результате атрофического вагинита. В то же время причина формирования гематокольпоса осталась неясной [6].…”

Section: клинический случай | Clinical Case влагалища шейка матки ста...unclassified

Hematocolpos in postmenopause caused by a malignant neoplasm of the vagina (a clinical case)

Sadovaya,

Bezmenko,

Zakharov

2024

Opuholi ženskoj reproduktivnoj sistemy

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Одним из редких патологических состояний женской репродуктивной системы является гематокольпос -процесс, связанный с обструктивными изменениями на уровне влагалища и характеризующийся нарушением естественной эвакуации содержимого из полости матки. с данной патологией чаще встречаются детские гинекологи, диагностируя аномалии развития женских половых органов. В период пери-и постменопаузы обструктивные нарушения встречаются крайне редко и связаны с гормональными изменениями или предшествующими вмешательствами. В статье представлен редкий клинический случай формирования гематокольпоса в результате злокачественного новообразования влагалища у женщины в постменопаузе.

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Severe atrophic vaginitis causing vaginal synechiae and hematocolpos at menopause

Abstract: Untreated severe atrophic vaginitis at menopause can result in a shortened vagina and hematocolpos. Magnetic resonance imaging is useful to characterize vaginal pathology in postmenopausal women.

Cited by 5 publications

References 8 publications

Complete vaginal outlet stenosis in a patient with Sheehan’s syndrome

Complete vaginal outlet stenosis in a patient with Sheehan’s syndrome

A study on vaginitis among pregnant and non-pregnant females in Alexandria, Egypt: An unexpected high rate of mixed vaginal infection

Hematocolpos in postmenopause caused by a malignant neoplasm of the vagina (a clinical case)

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