Imperforate Hymen
- Often Asymptomatic until Puberty
- Hematocolpos
- Primary Amenorrhea
- Lower Abdominal Pain
- Diagnosis by Clinical Impression
- Surgery
Vaginal Cancer
- HPV 16, 18
- Squamous Cell Carcinoma is Most Common Subtype
- Vaginal Bleeding
- Leukoplakia
- Colposcopy with Biopsy
- Radiation Therapy
- Surgery
Vaginal Cancer Subtypes
- Squamous Cell Carcinoma
- Most Common Subtype
- Associated with Cervical Squamous Cell Carcinoma
- Clear Cell Adenocarcinoma
- Diethylstilbestrol (DES) Exposure
- Sarcoma Botryoides
- Malignant Rhabdomyosarcoma
- "Bunch of Grapes" in Vagina
- Spindle-Shaped Cells
- Desmin Positive
Cervical Cancer Assessment
- Human Papillomavirus (HPV)
- Metrorrhagia
- Leukorrhea
- Pain
- Abnormal Pap Test
- May Be Asymptomatic
- HPV Vaccine
Cervical Cancer Screening
- Women Aged 21-65 Years
- Pap Smear Every 3 Years
- Women Aged 30-65 Years
- Can Opt for Co-testing (Pap Smear + HPV Testing) Every 5 Years
- Identify Lesions
- Cryotherapy
- Loop Excision
- Cold Knife Conization
Primary Ovarian Insufficiency (Premature Ovarian Failure)
- Premature Ovarian Failure
- Before Forty (40) Years Old
- Idiopathic
- Turner Syndrome
- Fragile X Syndrome
- Autoimmunity
- Signs of Menopause
- Decreased Estrogen
- Increased LH
- Increased FSH