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Although transverse vaginal septae are uncommon Müllerian anomalies, most women's healthcare providers will probably encounter them in practice. Clinicians at a large British hospital reviewed the medical records of all 46 cases seen between 1998 and 2013 (overall mean age at presentation, 18 years).
Twenty-eight patients had imperforate septae causing obstructed menstruation. Twelve patients had perforate septae with inability to insert tampons or have sexual intercourse or Pap smears. The remaining 6 women presented with varying symptoms (e.g., primary infertility, offensive discharge). Thirty-two septae were low (in the distal vagina; i.e., closer to the introitus), 10 were in the mid-vagina, and 3 were high. Twenty-one septae were ≥1 cm …