Crypto menorrhea

Definition
 It is an Abnormal condition in which the
products of menstruation are retained with in
the vagina because of an imperforate hymen
or less often with in the uterus because of an
occlusion of the cervical canal.
 Causes

• Imperforate hymen
• Mullerian duct anomalies
• Transverse Vaginal septum with functioning uterus
• Isolated Vaginal agenesis with functioning uterus
• Isolated Cervical agenesis with functioning uterus
• Stenosis
• Secondary vaginal Atersia
Imperforated hymen
Symptoms
 Periodic pain in the lower abdomen
 Urinary problems – urinary retention
 Long time amenorrhea
 Peritonitis
 Adhesions and endometritis
Signs
 Abdominal examination : swelling is felt on
palpation

 On vulval inspection : a tense , bluish

membrane is seen

 On rectal examination: A large bulging mass

is felt.
Investigations
 History collection
 Physical Examination
 USG
Treatment

 Imperforated Hymen – Excision drains retained

blood

 Vaginal septum – Z Plasty( is a plastic surgery

technique , used to elongate a contracted scar.)

 Vagino plasty - removal of excess or damaged

lining from the canal

 Hemato salpinx – Laparotomy or laparoscopy

Complications
 Hematometra - collection of blood in the
uterine cavity

 Hemato salpinx – collection of blood in the

tubes

 Endometriosis

 Infertility ( if severe, untreated)