Congenital transverse vaginal septum - a cause of primary infertility

Abstract

Congenital transverse vaginal septum is a malformation of the lower genital tract resulting from failure of canalization of the vagina during the development of an embryo. It is a common congenital abnormality of the lower female genital tract that usually presents with cryptomenorrhea. The location, extent of the vaginal septum and clinical presentation vary by case. It commonly presents as obstruction of menstrual How with associated haematometria. We described a case of a 24-year-old woman with congenital transverse vaginal septum, regular menstrual flow presenting with primary infertility of 3 years, in her second marriage and eventually had a successful pregnancy after surgical resection of the septum.