Vaginal Surgery: Enabling Fertility for \"Stone Women\

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Understanding the Condition of "Stone Woman"

"Stone Woman," commonly referred to in folklore as "stone core," describes a condition of congenital absence of the vagina. Individuals affected by this condition typically possess female secondary sexual characteristics, sexual desire, and a normal psychological state associated with womanhood. From an anatomical perspective, "Stone Woman" primarily involves the deformity or blockage of the menstrual canal, leading to amenorrhea or difficulties in menstruation.

Types of "Stone Woman"

The condition of "Stone Woman" can be categorized into two types: "external stone" and "internal stone." The term "external stone," also known as "pseudostone," refers to the condition where a thickened or obstructed hymen prevents vaginal penetration after marriage. Fortunately, this type can be corrected through hymenotomy, allowing the individual to engage in a normal sexual life post-surgery.

On the other hand, "internal stone" refers to a congenital absence of the vagina, which arises from the Müllerian ducts failing to canalize during the embryonic stage. The absence of a vagina often goes unnoticed until an individual reaches puberty and experiences the absence of menstruation or encounters difficulties on their wedding night. Early detection through premarital health examinations can reveal this condition, and surgical interventions can create a neovagina for a fulfilling sexual life in the future.

The Impact of Congenital Absence of the Vagina

In some cases, women with a vaginal absence may still have a normally developed uterus. After the onset of menstruation, menstrual blood can accumulate in the uterine cavity since it cannot exit the body. Once the cavity fills, the blood can flow through the openings of the fallopian tubes into the abdominal cavity, leading to endogenous pain due to uterine contractions.

Women without a vagina may still develop secondary sexual characteristics if their ovaries produce adequate amounts of female hormones, which can include breast development and the growth of pubic hair. However, some individuals may also lack a uterus or have an immature version of one, eliminating the possibility of menstrual generation altogether.

Hymenal Issues and Their Implications

In many cases, the hymen is located at the vaginal opening and consists of a thin membrane that usually has an opening to allow menstrual blood or vaginal secretions to exit. If the hymen develops abnormally without an opening, this condition is known as hymenal atresia or an imperforate hymen.

Women with hymenal atresia usually have normal development of the uterus and vagina, but the lack of an opening in the hymen prevents the flow of menstrual blood. Initially, blood accumulates in the vagina and can eventually back up into the uterus and fallopian tubes. Symptoms may include abdominal pain and palpable masses due to retained blood. On gynecological examination, the hymen may appear bulging and bluish due to the blood accumulation.

Marriage and Sexual Life for "Stone Women"

Many may wonder if "Stone Women" can marry and enjoy a normal married life. The answer is a resounding yes. With appropriate medical intervention and support, individuals facing this condition can lead fulfilling lives, including marriage and intimacy.

Overall, awareness and understanding of the "Stone Woman" condition are crucial in promoting better health outcomes and addressing the societal stigmas surrounding it.