Patient's question:
Detailed medical condition and consultation purpose: My menstrual cycle is very normal, but I just can't do the things couples do. I don't know if I'm a girl without a vagina!! I'm really scared!!Medical history: None
Auxiliary tests: None
Doctor's answer:
"Stone girl" often refers to hymenolysis, transverse vaginal septum, congenital absence of the vagina, or vaginal atresia. This congenital defect may not be noticeable at birth, as some individuals may not experience menstruation until puberty, while others may not be discovered until they are unable to engage in sexual intercourse on their wedding night. In normal females, there is a vaginal orifice below the urethral opening, surrounded by a thin membrane tissue called the hymen. Under normal circumstances, the hymen has only one opening through which menstrual blood flows. If the hymen has many small holes, it becomes a sieve-like hymen, and if there are none, it results in hymenolysis. If the development of the uterus and vagina is abnormal, after menarche, menstrual blood may accumulate in the vagina due to its inability to be expelled, leading to uterine vaginal hematoma. Excessive accumulation of blood can also enter the abdominal cavity through the fallopian tubes. The peritoneum near the fimbriae of the fallopian tubes may become edematous and adhesive due to stimulation from menstrual blood, leading to fimbrial closure and the formation of vaginal-uterine-fallopian tube hematoma.