Gynecologic diseases and sexual relations life

Gynecologic diseases often associated with sexual function or sexual behaviour change. In addition, some of the genitals or reproductive system diseases, as it interferes with the function of the reproductive system, cause physical discomfort, destruction of the patient's body image or self-confidence against her, and indirectly affect sexual function. A congenital anomalies, congenital absence of vagina The disease is a rare disorder, in about every 4,000 newborn baby girl can be found in one case of most of them are not altogether vagina, but vaginal agenesis (hapoplastiC). Vaginal length with only 1 to 4 cm, the third of the normal - about the rest of the atresia, a blind end. A very small number of patients, or only in the normal position at the mouth of the vagina is a slight depression or skin lacunae, and may even do not see any signs of the vagina. Such patients is a normal clitoris and the labia minora, and the vagina because they have different sources of embryos. Therefore, often until after puberty, primary amenorrhea due to the ability of life or clones for medical treatment, diagnosis can be made. Congenital absence of the vagina at the same time with different forms of the abnormal uterine anatomy, called Rokitansky-Kuster-Hauser syndrome. Uterine in size and shape may be stunted, or may be in a relatively normal anatomy, but not the same with the vagina. In addition, the congenital absence of the vagina often associated with the urinary system deformity. One study reported that 47% of such patients have abnormal urethra. In another one in the literature, Griffin (1976) reported 534 cases of patients with congenital absence of the vagina, including 71 cases of ectopic kidneys, 70 cases of congenital kidney deficiency, 19 patients with abnormal renal pelvis and urethra: one in the same document , Sun also reported 12 patients to abnormal bone Lu, a total of four congenital heart disease. Congenital absence of the vagina would menstrual blood reflux secondary pelvic lesions. Therefore, the government and those of the fallopian tube basically normal patients, if prior to the forming of this surgery, the patient is likely to retain the ability to bear children. By measuring plasma gonadotropin and progesterone levels, confirmed these patients have normal ovarian function, laparoscopic examination proves that the patients have normal follicle. However, despite the best medical and surgical treatment, suffering from the disease but the vast majority of women still do not have reproductive function. Congenital absence of the vagina is different from testicular feminization syndrome, the former have normal female karyotype and normal ovary. Use laparotomy and laparoscopy, inflatable pelvic ultrasound and other imaging techniques or identify the existence of uterus and uterine forms. The treatment of the disease, including surgical methods and non-surgical methods, Baldwin is the first to use free tube of vaginal reconstruction patients, but this method failure and mortality rates higher than expected. Subsequently, Mclndoe (1938,1959) using single layer on the skin in a rubber model, placed in the wound, vaginal reconstruction. This method greatly reduced, the risk of surgery, received an excellent result.还有一种可供选择的非手术疗法效果也很好：即采用一套扩张器，用均匀的压力压迫阴道陷凹，经过一定的时间可造成一个有相当深度的阴道。 Whether using surgical methods or non-surgical method, the artificial vagina for the reconstruction of the physiology and anatomy stimulate response and the response of normal vaginal way - unanimous. Especially in the excitement of when will a normal vaginal lubrication: the relative expansion of the vagina, orgasm before a stage and thus lead a normal orgasm response, but with the women of this disease, psychological problems are not uncommon. Second, congenital uterine abnormalities Clinical can meet all the different types of uterine abnormality. Congenital absence of the cervix and vagina and the existence of the normal uterus, is extremely rare, this situation resulted in the retention period after puberty, the need for wood in hand. The more common situation is to repeat the uterus, which often have different reproductive function extent of the impact, but generally do not cause sexual function changes. Most cases of the diagnosis only through official salpingography be established - like a uterine abnormality found palpation is not easy. Repeat of the Registry, and are often taken to correct surgical method to promote pregnancy, dysmenorrhea improved symptoms.