A torn longitudinal vaginal septum in a multiparous woman causing sexual dissatisfaction

Abstract

Longitudinal vaginal septum is one of the Mullerian abnormalities affecting the lower genital tract. It is a rare but frequent cause of dyspareunia in early adult life and occurs as a result of incomplete fusion of the lower part of the two Mullerian ducts or failure of canalization of the vaginal plate. We report the case of a multipara who had a fleshy mass protruding from the vagina and sexual dissatisfaction with no associated symptoms of uterovaginal prolapse. She had examination under anesthesia and simple surgical excision, following which she had relief of her symptoms. This is a unique case occurring in a multipara (para 4) that went unnoticed until after the fourth childbirth. A careful evaluation of all clients with dyspareunia or sexual dissatisfaction after delivery should be the watchword.

Keywords

• multipara
• prolapse
• sexual dissatisfaction
• torn septum