Vaginal septum

Vaginal septum
ICD-10	Q51.1
ICD-9	752.49

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A vaginal septum is a congentital partition within the vagina; such a septum could be either longitudinal or transverse.

Longitudinal septum - double vagina

A longitudinal vaginal septum develops during embryogenesis when there is an incomplete fusion of the lower parts of the two mullerian ducts. As a result there is a double vagina. There may be associated duplications of the more cranial parts of the mullerian derivatives, a double cervix, and either a uterine septum or uterus didelphys (double uterus).

The person with a longitudinal vaginal septum may be asymptomatic and not aware of the condition. If dyspareunia is a problem a simple resection of the septum could be performed.

Transverse septum

A transverse septum can form during embryogenesis when the mullerian ducts fuse improperly to the urogenital sinus. A complete transverse will block menstrual flow and is a cause of primary amenorrhea. The accumulation of menstrual debris behind the septum is termed cryptomenorrhea. Some transverse septa are incomplete and may lead to dysparunia or obstruction in labor. A surgical incision will relieve the situation.