“…TVSs are broadly classified as perforated or imperforated, based on the presence or absence of communication between the vagina and the uterus [1] , accordingly, clinical symptoms vary. An imperforated TVS usually presents early, as early as the neonatal period due to obstruction of flow of vaginal secretions (hydrometrocolpos), or in the early puberty period, with features of obstruction of menstrual flow, such as primary amenorrhea, hematocolpos, and hematometra, which are usually associated with the complaint of cyclic lower abdominal pain [1,5] . On the contrary, perforated TVS may be asymptomatic and an incidental finding upon vaginal examination due to complains such as dysmenorrhea, dyspareunia, or infertility [7] .…”