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Vaginal Agenesis

  • Vaginal Agenesis
  • Vaginal Agenesis

Description of disability:

A girl baby may be born without a vagina and have other absent reproductive organs. This condition is called vaginal agenesis. Vaginal agenesis affects 1 out of 5,000 to 7,000 female infants. Sometimes vaginal agenesis is recognized at birth. Most times, the condition isn't diagnosed until puberty, when the teen notices she hasn't started her period and seeks medical advice. 90 percent of patients are born with Mayer-von Rokitansky-Küster-Hauser's Syndrome (MRKH)—have a collection of symptoms which may include an absent uterus and cervix, kidney, hearing loss, and a possible spinal abnormality such as curvature of the spine. All females will either have an absent vagina or an incomplete vaginal canal. Young women with vaginal agenesis have normal ovaries and normal external genitalia and thus go through puberty and develop breasts, under arm and pubic hair, except they will not have a periods.30 percent of patients with vaginal agenesis have kidney abnormalities. Usually, one kidney is absent or one or both kidneys are dislocated. The kidneys could also be fused together in a horseshoe shape. Approximately 12 percent of girls with vaginal agenesis have skeletal abnormalities. Two thirds of those patients experience minor problems with the spine, ribs or limbs.


From a surgical perspective it is important to differentiate vaginal agenesis with a functioning uterus from one without it.In the presence of a patent uterus, a tube is formed from a part of the sigmoid colon to restore the passage. In the absence of a uterus, the neovagina is formed in a variety of ways.

Post operative care: 

Depending on the type of surgery, the patient requires diligent follow-up with the surgeon. On the whole the healing time takes anywhere from three months to six months.


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