Developmental Disorders of the Vagina and Vulva
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Diagnosis & Tests
Inspection of the external genitalia, may reveal:
- one side of labia larger than the other, or unusually large on both sides
- vaginal opening extremely close to the urethra or anus
- urethra located on the clitoris
- enlarged clitoris
Examination of the vagina may reveal:
- absence of, or partially-formed, vagina
- fusion of the labia
- abnormal septum ("wall" of connective tissue) in the vaginal canal that may either partially or completely divide the vagina horizontally or vertically
- imperforate hymen (solid membrane obstructing the vaginal opening). In preadolescent girls, secretions may accumulate causing vaginal distention and a shiny, bulging protuberance at the vaginal opening. In adolescent girls, menstrual blood accumulates causing a purplish-red, bulging protuberance at the vaginal opening.
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