Vaginal Septum: Symptoms, Diagnosis, and Treatment

Vaginal issues: vaginal septum?

I noticed a fleshy column at the vaginal opening of my girlfriend, which divides the vaginal entrance into left and right sides.
Her menstrual cycle occurs approximately every two months, and she experiences lower back pain.
I have researched uterine septum, which seems to be related to the kidneys.
Here are my questions, and I would appreciate your guidance:
1.
If the vaginal canal is connected, will this affect fertility?
2.
How should I inform the gynecologist about this during the visit?
3.
Is the lower back pain related to the kidneys?
4.
Are there any potential complications or sequelae?
5.
How long is the recovery period?
6.
When can she resume sexual activity?
7.
Is this condition a vaginal septum?

Xiong Xiong, 20~29 year old female. Ask Date: 2021/12/07

Dr. Wu Xianghui reply Obstetrics and Gynecology

1.
A vaginal septum does not affect fertility.
2.
You can visit a gynecologist for an examination.
3.
"Vaginal infections" can cause abnormal discharge, perineal itching, odor, burning sensation during urination, frequent urination, and bleeding.
More severe symptoms may include lower back pain, abdominal pain, or fever.
The "treatment options" vary depending on the symptoms and require proper health education; it is recommended to consult a gynecologist for examination and evaluation.
4.
No, it does not.
5.
Surgery is not necessarily required.
6.
A diagnosis can only be confirmed after examination.

Reply Date: 2021/12/07

More Info

Understanding a vaginal septum and its implications can be quite complex, especially when considering the symptoms and potential treatments involved. A vaginal septum is a condition where a band of tissue divides the vaginal canal, which can lead to various symptoms and complications, particularly during menstruation and sexual intercourse.

1. Symptoms and Diagnosis: The presence of a septum can cause discomfort during sexual activity, as you have described. Other symptoms may include irregular menstrual cycles, pelvic pain, and difficulty with tampon insertion. The diagnosis is typically made through a pelvic examination, and imaging studies such as ultrasound or MRI may be used to assess the anatomy of the vagina and surrounding structures.

2. Impact on Fertility: A vaginal septum can potentially affect fertility, but it largely depends on the type and extent of the septum. If the septum is complete and divides the vagina into two separate canals, it may interfere with the passage of sperm or the delivery of a baby. However, if the septum is incomplete or if the vaginal canal is still functional, fertility may not be significantly impacted. It’s essential to discuss your specific case with a healthcare provider who can evaluate your anatomy and provide personalized advice.

3. Consulting a Healthcare Provider: When visiting a gynecologist, it’s crucial to be open and detailed about your symptoms. You can start by explaining that you have noticed a tissue-like structure at the vaginal opening that divides it and that you experience discomfort during intercourse and irregular menstrual cycles. Providing a complete history of your symptoms, including the frequency and nature of your menstrual cycles, will help the doctor make an accurate diagnosis.

4. Back Pain: The lower back pain you are experiencing may not be directly related to the septum itself but could be due to other factors such as pelvic floor tension, hormonal changes, or even kidney issues. It’s important to mention this symptom to your healthcare provider, as they may want to conduct further evaluations to determine the underlying cause.

5. Potential Complications: If left untreated, a vaginal septum can lead to complications such as recurrent infections, pain during intercourse, or complications during childbirth. Surgical intervention may be necessary to remove the septum, especially if it is causing significant discomfort or complications.

6. Recovery and Sexual Activity: The recovery time after surgical intervention for a vaginal septum can vary depending on the extent of the surgery and individual healing processes. Generally, patients are advised to avoid sexual intercourse for a period of time post-surgery, often around 4-6 weeks, but this should be confirmed by your healthcare provider based on your specific situation.

7. Is it a Vaginal Septum?: Based on your description, it does sound like you may have a vaginal septum, but only a qualified healthcare professional can provide a definitive diagnosis. They will assess the structure and function of your vagina and may recommend treatment options if necessary.

In conclusion, if you suspect you have a vaginal septum or are experiencing discomfort, it is essential to seek medical advice. A gynecologist can provide a thorough evaluation and discuss potential treatment options, including surgical intervention if needed. Open communication about your symptoms and concerns will help ensure you receive the best care possible.

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