Vaginal Septum (Symptoms,Causes and Treatment)

The vaginal septum is a condition where a wall of tissue, known as the septum, divides the vagina into two separate compartments. This condition is typically present at birth and is caused by incomplete fusion of the two sides of the vagina during fetal development. The vaginal septum may be complete, dividing the vagina into two equal compartments, or partial, dividing the vagina into unequal compartments.

Some women with a vaginal septum may not experience any symptoms, while others may experience discomfort or pain during sexual intercourse or have difficulty using tampons. In some cases, a vaginal septum can also interfere with fertility or childbirth.

Treatment for a vaginal septum typically involves surgical removal of the septum. This procedure is usually performed under general anesthesia and may involve making incisions in the vaginal tissue to remove the septum. After the procedure, women typically need to avoid sexual activity and strenuous exercise for several weeks to allow for proper healing.

This article covers the following topics :

What is a vaginal septum?

The vaginal septum is a condition where a wall of tissue, known as the septum, divides the vagina into two separate compartments. The condition is typically present at birth and is caused by incomplete fusion of the two sides of the vagina during fetal development. The vaginal septum may be complete, dividing the vagina into two equal compartments, or partial, dividing the vagina into unequal compartments.

Symptoms of a vaginal septum can vary depending on the extent and location of the septum. Some women with a vaginal septum may not experience any symptoms, while others may experience discomfort or pain during sexual intercourse, have difficulty using tampons, or experience recurrent urinary tract infections or vaginal infections. In some cases, a vaginal septum can also interfere with fertility or childbirth.

Diagnosis of a vaginal septum typically involves a pelvic exam and imaging tests, such as an ultrasound or MRI. In some cases, a hysteroscopy or laparoscopy may be performed to view the internal structures of the vagina and reproductive system.

Treatment for a vaginal septum typically involves surgical removal of the septum. This procedure is usually performed under general anesthesia and may involve making incisions in the vaginal tissue to remove the septum. The extent of the surgery and the technique used will depend on the location and size of the septum. After the procedure, women typically need to avoid sexual activity and strenuous exercise for several weeks to allow for proper healing.

The outlook for women with a vaginal septum is generally good with appropriate treatment. Surgical removal of the septum can help alleviate symptoms and improve sexual function. However, some women may experience scarring or other complications from the surgery, and there is a risk of recurrence of the septum in some cases.

It is important for women to seek prompt medical attention if they experience symptoms of a vaginal septum, such as pain during intercourse or difficulty using tampons. A healthcare provider can perform a pelvic exam and imaging tests to diagnose the condition and recommend appropriate treatment options. With appropriate treatment and management, most women with a vaginal septum can achieve relief from their symptoms and maintain good reproductive and sexual health.

What are the types of vaginal septums?

There are two main types of vaginal septums: complete and partial.

1-Complete vaginal septum: In this type of vaginal septum, a wall of tissue divides the vagina into two separate compartments of equal size. This means that the vaginal canal is completely divided into two parts, with a septum running from front to back.

2-Partial vaginal septum: In this type of vaginal septum, a wall of tissue partially divides the vagina into two separate compartments, creating two sections of different sizes. This means that the vaginal canal is only partially divided, with the septum running partially from front to back.

The location of the vaginal septum can also vary, with some septums being closer to the entrance of the vagina, while others are located higher up in the vaginal canal. The extent and location of the vaginal septum can impact the severity of symptoms and the recommended treatment options. A healthcare provider can perform a pelvic exam and imaging tests to determine the extent and location of a vaginal septum and recommend appropriate treatment options.

What is a transverse vaginal septum?

A transverse vaginal septum is a type of vaginal septum that is located horizontally across the vaginal canal, dividing it into two separate compartments. It is typically located near the upper part of the vagina, closer to the cervix.

A transverse vaginal septum is a congenital condition, which means it is present at birth. It occurs due to a failure of the vaginal tissue to develop properly during fetal development. This results in the formation of a thick wall of tissue that partially or completely obstructs the vaginal canal.

Symptoms of a transverse vaginal septum may include abdominal pain, difficulty or pain during sexual intercourse, lack of menstrual periods, and urinary tract infections. Diagnosis is typically made through a pelvic exam and imaging tests such as ultrasound or MRI.

Surgical treatment is typically required to remove the vaginal septum and restore the normal anatomy of the vaginal canal. The specific surgical technique used will depend on the location and extent of the septum. After surgery, women may need to abstain from sexual activity and refrain from using tampons for several weeks to allow for proper healing.

With appropriate treatment, most women with a transverse vaginal septum can achieve relief from their symptoms and maintain good reproductive and sexual health. It is important to seek medical attention if you experience symptoms of a transverse vaginal septum. A healthcare provider can perform a pelvic exam and imaging tests to diagnose the condition and recommend appropriate treatment options.

What is a longitudinal vaginal septum?

A longitudinal vaginal septum is a type of vaginal septum that is located vertically along the vaginal canal, dividing it into two separate compartments. It can be partial or complete, and can be located anywhere along the length of the vagina.

A longitudinal vaginal septum is a congenital condition, which means it is present at birth. It occurs due to a failure of the vaginal tissue to develop properly during fetal development. This results in the formation of a thick wall of tissue that partially or completely divides the vaginal canal.

Symptoms of a longitudinal vaginal septum may include difficulty or pain during sexual intercourse, lack of menstrual periods, and recurring urinary tract infections. In some cases, the septum may not cause any symptoms and may be discovered incidentally during a pelvic exam or imaging tests such as ultrasound or MRI.

Treatment for a longitudinal vaginal septum typically involves surgical removal of the septum. The specific surgical technique used will depend on the location and extent of the septum. After surgery, women may need to abstain from sexual activity and refrain from using tampons for several weeks to allow for proper healing.

With appropriate treatment, most women with a longitudinal vaginal septum can achieve relief from their symptoms and maintain good reproductive and sexual health. It is important to seek medical attention if you experience symptoms of a longitudinal vaginal septum. A healthcare provider can perform a pelvic exam and imaging tests to diagnose the condition and recommend appropriate treatment options.

Is a vaginal septum rare?

Vaginal septum is a relatively rare condition, but the exact prevalence is not known. The condition occurs when there is an abnormality in the development of the vagina during fetal development. While some women with a vaginal septum may never experience symptoms, others may experience pain during sex, difficulty inserting tampons, recurrent urinary tract infections, or infertility. The severity of symptoms and impact on reproductive and sexual health can vary depending on the location and extent of the septum. Treatment may involve surgical removal of the septum, and the outlook for women with a vaginal septum is generally good with appropriate treatment. However, it is important to seek medical attention if you experience symptoms of a vaginal septum.

Can you have a baby with a vaginal septum?

The ability to have a baby with a vaginal septum depends on the location and extent of the septum. In some cases, a vaginal septum may not interfere with a woman’s ability to conceive or carry a pregnancy to term. However, in other cases, a vaginal septum can cause fertility issues or make it difficult or impossible to deliver a baby vaginally.

If a vaginal septum is causing fertility issues, treatment may involve surgical removal of the septum to improve the chances of conception. If a vaginal septum is discovered during pregnancy, the delivery plan will depend on the location and extent of the septum. In some cases, a cesarean delivery may be recommended to reduce the risk of complications during delivery.

It is important to seek medical attention if you have a vaginal septum and are planning to have a baby. A healthcare provider can perform a pelvic exam and imaging tests to determine the location and extent of the septum and recommend appropriate treatment options.

What are the symptoms of a vaginal septum?

The symptoms of a vaginal septum can vary depending on the location and extent of the septum. Some women with a vaginal septum may not experience any symptoms and the condition may only be discovered incidentally during a pelvic exam or imaging test. Other women may experience one or more of the following symptoms:

1-Pain during sexual intercourse

2-Difficulty inserting tampons

3-Recurrent urinary tract infections

4-Menstrual problems, such as heavy bleeding or irregular periods

5-Infertility or difficulty becoming pregnant

If you experience any of these symptoms, it is important to seek medical attention. A healthcare provider can perform a pelvic exam and imaging tests to diagnose a vaginal septum and recommend appropriate treatment options.

What causes a vaginal septum?

A vaginal septum is a congenital condition, meaning it is present at birth, and is caused by a developmental abnormality during fetal development. Specifically, a vaginal septum occurs when the vaginal tissue fails to develop normally and results in the formation of a wall of tissue that partially or completely divides the vaginal canal. The exact cause of this developmental abnormality is not fully understood, but it may be related to genetic or environmental factors. In some cases, a vaginal septum may be associated with other congenital conditions, such as kidney or skeletal abnormalities. While a vaginal septum cannot be prevented, it can be diagnosed and treated to improve reproductive and sexual health outcomes.

What complications are associated with a vaginal septum?

A vaginal septum can lead to a number of complications, depending on its location and extent. Some possible complications of a vaginal septum include:

1-Pain during sexual intercourse: A vaginal septum can make sexual intercourse painful or difficult. This can cause discomfort, anxiety, and sexual dysfunction.

2-Recurrent urinary tract infections: A vaginal septum can interfere with proper bladder emptying, which can increase the risk of urinary tract infections (UTIs).

3-Menstrual problems: A vaginal septum can interfere with the normal flow of menstrual blood, causing heavy bleeding or irregular periods.

4-Infertility: A vaginal septum can interfere with conception or implantation of a fertilized egg, making it difficult to become pregnant.

5-Complications during delivery: A vaginal septum can increase the risk of complications during delivery, including obstructed labor, prolonged delivery, and increased risk of tears or lacerations.

It is important to seek medical attention if you experience symptoms of a vaginal septum or have concerns about your reproductive or sexual health. A healthcare provider can perform a pelvic exam and imaging tests to diagnose a vaginal septum and recommend appropriate treatment options.

How is the vaginal septum diagnosed?

A vaginal septum is typically diagnosed through a pelvic exam and imaging tests. During a pelvic exam, a healthcare provider will use a speculum to examine the inside of the vagina and look for any signs of a septum, such as a dividing wall of tissue. The provider may also use a gloved finger to feel for any abnormalities.

Imaging tests, such as ultrasound or MRI, may be used to further evaluate the location and extent of the septum. These tests can provide detailed images of the vagina and help the healthcare provider determine the best treatment options.

If you experience symptoms of a vaginal septum, it is important to seek medical attention. A healthcare provider can perform a thorough evaluation and recommend appropriate diagnostic tests to diagnose a vaginal septum and rule out other conditions that may cause similar symptoms.

How do you fix a vaginal septum?

The treatment for a vaginal septum depends on the location and extent of the septum, as well as any associated symptoms or complications. In some cases, a vaginal septum may not require treatment if it is not causing any symptoms or interfering with sexual or reproductive function.

However, if treatment is necessary, surgical removal of the septum is typically recommended. The type of surgical procedure used depends on the location and extent of the septum. For example:

1-Hysteroscopy: If the septum is located high in the vagina, a hysteroscope (a thin, flexible tube with a camera and light) may be inserted through the cervix and into the uterus to visualize and remove the septum.

2-Colpocleisis: In some cases, a colpocleisis may be recommended for older women who no longer desire sexual activity. This procedure involves closing the vaginal canal to treat the septum.

3-Transverse vaginoplasty: This procedure is used to treat a transverse vaginal septum and involves making a transverse incision in the septum and suturing the edges of the incision to create a single vaginal canal.

4-Longitudinal vaginoplasty: This procedure is used to treat a longitudinal vaginal septum and involves making a longitudinal incision in the septum and suturing the edges of the incision to create a single vaginal canal.

It is important to discuss treatment options with a healthcare provider who specializes in treating vaginal septums. The healthcare provider can help determine the best treatment approach based on your individual situation and provide information about the risks and benefits of each option.

How is vaginal septum surgery?

The surgical procedure to remove a vaginal septum is typically performed under general anesthesia and may be done on an outpatient basis. The specific technique used depends on the location and extent of the septum, as well as the surgeon’s experience and preference.

During the surgery, the surgeon will make an incision in the septum and remove the tissue to create a single vaginal canal. The incision is then closed with dissolvable stitches.

After surgery, you may experience some discomfort and vaginal bleeding for a few days. You may also be instructed to avoid sexual activity for several weeks to allow for healing.

Recovery time can vary depending on the extent of the surgery and the individual’s healing process. In general, most people can return to normal activities within a few days to a few weeks after surgery, although strenuous exercise and sexual activity should be avoided until healing is complete.

As with any surgery, there are risks associated with vaginal septum surgery, including bleeding, infection, scarring, and damage to surrounding organs or structures. It is important to discuss the risks and benefits of surgery with your healthcare provider and follow all pre- and post-operative instructions to ensure the best possible outcome.

Can vaginal septum grow back?

It is rare for a vaginal septum to grow back after surgical removal. However, in some cases, a small amount of scar tissue or residual septum tissue may remain after surgery, which can cause a reoccurrence of symptoms. This is more likely to occur if the original septum was large or complex, or if the surgical procedure was not successful in removing all of the tissue.

If you experience a recurrence of symptoms after vaginal septum surgery, it is important to contact your healthcare provider. Additional imaging tests, such as an MRI or ultrasound, may be recommended to evaluate the extent of the tissue remaining and determine the best treatment options.

In some cases, additional surgery may be necessary to remove any remaining tissue and relieve symptoms. It is important to work closely with a healthcare provider who specializes in the treatment of vaginal septums and follow all post-operative instructions to reduce the risk of recurrence.

What can I expect if I have a vaginal septum?

If you have a vaginal septum, you may experience a range of symptoms, depending on the location and size of the septum. Some people with a vaginal septum may not experience any symptoms at all, while others may have significant discomfort or complications.

Some of the common symptoms associated with a vaginal septum include:

1-Difficulty inserting tampons or menstrual cups

2-Pain during sexual intercourse

3-Recurrent urinary tract infections

4-Difficulty with childbirth

5-Vaginal discharge or bleeding

6-Pelvic pain or discomfort

If you are experiencing any of these symptoms, it is important to consult with a healthcare provider who specializes in the treatment of vaginal septums. They can perform an examination and recommend appropriate diagnostic tests, such as an ultrasound or MRI, to evaluate the extent and location of the septum.

Treatment options for a vaginal septum depend on the location and severity of the septum, as well as the individual’s symptoms and preferences. In some cases, surgical removal of the septum may be recommended to relieve symptoms and improve sexual or reproductive function. It is important to discuss all treatment options with a healthcare provider and weigh the risks and benefits before making a decision.

When should I see my healthcare provider for vaginal septum?

You should consult with a healthcare provider if you experience any symptoms associated with a vaginal septum, such as difficulty inserting tampons or menstrual cups, pain during sexual intercourse, recurrent urinary tract infections, difficulty with childbirth, vaginal discharge or bleeding, or pelvic pain or discomfort.

If you have been diagnosed with a vaginal septum, it is important to consult with a healthcare provider who specializes in the treatment of this condition. They can perform an examination, recommend appropriate diagnostic tests, and discuss treatment options to help alleviate your symptoms and improve your overall quality of life.

It is also important to seek medical attention if you experience any unusual vaginal bleeding or discharge, pain during intercourse or urination, or other symptoms that may indicate a vaginal infection or other condition. Prompt medical attention can help diagnose and treat any underlying conditions and prevent complications.