A CASE OF PRIMARY INFERTILITY: CONCEPTION FOLLOWING HYMENECTOMY FOR MICROPERFORATE HYMEN

Dr. Navya S; Dr. Prabhadevi K; Dr.Srilakshmi B

Volume : VIII, Issue : I, January - 2019

A CASE OF PRIMARY INFERTILITY: CONCEPTION FOLLOWING HYMENECTOMY FOR MICROPERFORATE HYMEN

Dr. Navya S, Dr. Prabhadevi K, Dr. Srilakshmi B

Abstract :

Female genital tract abnormality is diverse and has varied presentations. Incomplete degeneration of the hymen occurs in 1:2000 live births. It is due to failure of canalisation of genital tubercle. Micro–perforate hymen is non–obstructive. The exact incidence is unknown. This is a rare case of micro perforate hymen where the patient presented with primary infertility, conceived after hymenectomy and delivered vaginally. A 25–year old nulligravida, presented to the OPD with primary infertility, normal secondary sexual characters and a memane covering the vaginal introitus. Uterine sound could be passed through a pinpoint opening. USG was normal. 5 months after hymenectomy, patient reported at 14 weeks POG and she was delivered vaginally at term. Female congenital anomalies are uncommon but their impact on reproduction can be profound. Knowledge about this entity is required to make correct diagnosis and early detection. Correct surgical intervention is required for a better psychological and reproductive health