Jennifer E Dietrich1, Debra M Millar2, Elisabeth H Quint3. 1. Division of Pediatric and Adolescent Gynecology, Department of OBGYN, Baylor College of Medicine, Houston, TX. 2. Department of OBGYN, University of British Columbia, Vancouver, BC. 3. Department of OBGYN, University of Michigan, Ann Arbor, MI.
Abstract
BACKGROUND: Approximately 7% of girls will have an anatomic abnormality in their reproductive tract, diagnosed before or after puberty. OBJECTIVE: It is important for providers to be aware of the obstructive reproductive tract conditions, the way in which various conditions present, and the way in which such conditions should be managed. DESIGN: Systematic review of the literature using the GRADE evidence system. RESULTS: There is limited data in most areas of obstructive reproductive tract anomalies; however, some retrospective and prospective series with small numbers are still useful to guide clinical practice. CONCLUSIONS: Recommendations are based on limited or inconsistent scientific evidence. Recommendations are based primarily on consensus and expert opinion.
BACKGROUND: Approximately 7% of girls will have an anatomic abnormality in their reproductive tract, diagnosed before or after puberty. OBJECTIVE: It is important for providers to be aware of the obstructive reproductive tract conditions, the way in which various conditions present, and the way in which such conditions should be managed. DESIGN: Systematic review of the literature using the GRADE evidence system. RESULTS: There is limited data in most areas of obstructive reproductive tract anomalies; however, some retrospective and prospective series with small numbers are still useful to guide clinical practice. CONCLUSIONS: Recommendations are based on limited or inconsistent scientific evidence. Recommendations are based primarily on consensus and expert opinion.
Keywords:
Cervicovaginal agenesis/dysgenesis (II-3, III); Imperforate hymen diagnosis and management (II-3); Lower vaginal atresia (III); Müllerian anomaly; OHVIRA diagnosis and management (II-3, III); Obstructed uterine horn (III); Obstructive; Outflow tract; Vaginal septum diagnosis and management (II-3, III); We strongly recommend that such conditions be managed by physicians with special expertise in this area (Levels B and C)