What is the Cryptomenorrhea?

Cryptomenorrhea is a condition in which menstruation occurs but is not visible due to obstruction of outflow tract resulting in either hematometra (blood collection within uterus) or hematocolpos (blood collection within vagina). In the long term it may result in endometriosis, urinary retention and infertility.

What is a Hematocolpos?

Hematocolpos is accumulation of menstrual blood in the vagina, which can cause it to bulge.

How is Cryptomenorrhea diagnosed?

Diagnosis. Cryptomenorrhea can be easily diagnosed using ultrasound. The vagina is commonly seen filled with blood and the uterus usually appears pushed upward.

What are the types of amenorrhoea?

There are two types of amenorrhea. Primary amenorrhea is when you are late to start your period for the first time. The normal age range is 14 to 16 years old. Secondary amenorrhea is when you miss a period for 3 months in a row or more.

Which is the commonest cause of Cryptomenorrhea?

Background: Cryptomenorrhea at menarche is commonly due to mullerian duct anomalies. Uterine avulsion due to blunt pelvic trauma is a very rare cause of cryptomenorrhea.

Is dysmenorrhea a disease?

Dysmenorrhea is a common symptom secondary to various gynecological disorders, but it is also represented in most women as a primary form of disease. Pain associated with dysmenorrhea is caused by hypersecretion of prostaglandins and an increased uterine contractility.

What causes hematocolpos?

The medical definition of hematocolpos is ‘an accumulation of blood within the vagina’. It is often caused by the combination of menstruation with an imperforate hymen. It is sometimes seen in Robinow syndrome, uterus didelphys, or other vaginal anomalies.

How do you treat hematocolpos?

The surgical procedure of hymenotomy and evacuation of hematocolpos is performed in an outpatient setting. The patient and family should be instructed to expect continued drainage of dark, thick, old blood for several days to a week after the procedure. Mild cramping may occur as the hematometra resolves and evacuates.

What tests are done for amenorrhea?

A variety of blood tests may be necessary, including:

Pregnancy test. This will probably be the first test your doctor suggests, to rule out or confirm a possible pregnancy.
Thyroid function test.
Ovary function test.
Prolactin test.
Male hormone test.

How is amenorrhea evaluated?

Although amenorrhea may result from a number of different conditions, a systematic evaluation including a detailed history, physical examination, and laboratory assessment of selected serum hormone levels can usually identify the underlying cause.

What are the two primary ways of amenorrhoea classification?

There are two main ways to classify amenorrhea, one is by the cause and the other is by the function. The cause can be either primary or secondary, while the function refers to the type of hormones that are involved in the absence of menstruation.