Can Women with Congenital Absence of the Uterus Have Menstruation After Treatment?

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Understanding the Condition of "Stone Women": An Insight into Diagnosis and Treatment

The term "Stone Woman" is a colloquial expression used to describe females who are born with **congenital vaginal absence** or **hymenal closure**. These conditions can significantly impact a woman's ability to engage in sexual activities. An important question arises: **Do Stone Women experience menstruation?** The answer is straightforward—women with this condition do not menstruate before treatment; however, those who undergo surgical intervention may begin to menstruate afterward.

Types of Stone Women: Genuine vs. Imitation

Stone Women can be categorized into two primary types: **genuine Stone Women** and **imitation Stone Women**.

Genuine Stone Women

Genuine Stone Women are characterized by **congenital vaginal insufficiency** or underdeveloped vaginas. Typically, these women lack a vagina and also have no uterus. As a result, they do not experience menstruation nor can they conceive. In some cases, there may be women without a vagina but with a normal uterus capable of producing menstrual blood, which subsequently cannot be expelled due to the vaginal absence. This condition mimics the symptoms of hymenal closure.

Imitation Stone Women

Conversely, imitation Stone Women have **vaginal adhesion** or closed hymens, allowing them to menstruate but preventing the menstrual flow. Surgical correction is often possible for these women. Once the hymen is properly opened, menstruation can resume normally, leading to the restoration of full sexual function.

Can Stone Women Lead Normal Sexual Lives and Bear Children?

For women classified as genuine Stone Women lacking a vagina, there are surgical options available for **vaginal reconstruction**. Various methods are employed, including non-surgical therapies. Surgical approaches typically involve separating the urethra, bladder, and rectum to create an artificial canal. Different techniques may be used to find suitable tissue for covering the surgical site, ultimately permitting vaginal reconstruction. After such procedures, women can get married and engage in sexual activity; however, they will still be unable to conceive due to the absence of a uterus.

On the other hand, imitation Stone Women who experience hymenal closure can undergo hymenal incision. This procedure is relatively straightforward and allows both the uterus and the vagina to develop normally. The treatment for hymenal closure involves opening the hymen to release accumulated blood, resulting in the restoration of normal menstrual cycles and sexual capabilities. Timely intervention in these cases does not adversely affect fertility.

Conclusion: Early Diagnosis and Treatment

In summary, it is essential for women to seek prompt evaluation and diagnosis of their conditions. If a woman possesses a normal uterus and ovarian function, surgical intervention is ideally scheduled after menstruation begins. This timing aids in menstrual blood drainage and facilitates sexual activity, enhancing the potential for intrauterine pregnancies. For those identified as having no uterus or rudimentary uterus lacking reproduction capabilities, it is recommended to undertake **vaginal reconstruction** either before or shortly after marriage to address sexual health and intimacy issues.