Cryptomenorrhea

Cryptomenorrhea
Synonyms	Cryptomenorrhoea, Cryptomenorrhoea
Pronounce	N/A
Specialty	N/A
Symptoms	Menstrual pain, abdominal pain, pelvic pain, absence of visible menstrual bleeding
Complications	Endometriosis, infertility, pelvic inflammatory disease
Onset	Menarche
Duration	Varies
Types	N/A
Causes	Imperforate hymen, transverse vaginal septum, cervical stenosis
Risks	Reproductive tract anomalies
Diagnosis	Pelvic examination, ultrasound, MRI
Differential diagnosis	Primary amenorrhea, secondary amenorrhea, Asherman's syndrome
Prevention	N/A
Treatment	Surgical intervention
Medication	Pain management
Prognosis	N/A
Frequency	Rare
Deaths	N/A

Cryptomenorrhea is a medical condition where a woman has menstrual cycles but no menstrual flow due to an obstruction in the genital tract. This condition is also known as Imperforate Hymen or Hematocolpos when the obstruction is caused by a hymen that has not perforated.

Causes

The most common cause of Cryptomenorrhea is an imperforate hymen, a condition where the hymen, a thin membrane that partially covers the vaginal opening, does not have an opening for menstrual blood to flow out. Other causes can include transverse vaginal septum, a condition where a wall of tissue forms across the vagina, and Mayer-Rokitansky-Küster-Hauser syndrome, a condition where the vagina and uterus are underdeveloped or absent.

Symptoms

The main symptom of Cryptomenorrhea is the absence of menstrual flow despite having menstrual cycles. This can lead to a buildup of menstrual blood in the vagina and uterus, known as hematocolpos and hematometra respectively. Other symptoms can include abdominal pain, back pain, and difficulty urinating or defecating.

Diagnosis

Diagnosis of Cryptomenorrhea is usually made through a physical examination and medical history. Imaging tests such as ultrasound, MRI, or CT scan may be used to confirm the diagnosis and identify the cause of the obstruction.

Treatment

Treatment for Cryptomenorrhea depends on the cause of the obstruction. If the cause is an imperforate hymen or transverse vaginal septum, surgery may be needed to create an opening for menstrual blood to flow out. If the cause is Mayer-Rokitansky-Küster-Hauser syndrome, treatment may involve reconstructive surgery or the use of dilators to create a vaginal canal.

See also

• Menstrual cycle
• Menstrual disorders
• Hematocolpos
• Hematometra
• Imperforate hymen
• Transverse vaginal septum
• Mayer-Rokitansky-K√ºster-Hauser syndrome

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