Vaginal Septum

　　The vaginal septum is a vaginal plate formed during embryonic development from the urogenital sinus to the vaginal bulb towards the head end, which becomes blocked during the process of cavity formation from bottom to top, leading to non-penetrated or incomplete cavity formation. It commonly occurs at the junction of the upper and middle third of the vagina, but can also occur at any other part of the vagina, up to the vaginal apex near the cervix. It may be due to the non-penetrated connection between the tail ends of the two mesonephric ducts and the urogenital sinus. The vaginal septum is commonly located at the junction of the upper and middle third of the vagina, but can also occur at other sites. A complete septum is rare and can lead to vaginal atresia; usually there is a small hole in the center or on the side of the septum of varying sizes, affecting the discharge of vaginal fluid and menstrual blood.

　　Vaginal septum can affect a woman's life. The interstitium between the two mucosal tissues can contain abundant collagen fibers and smooth muscle, occasionally mixed with mesonephric tissue components. Complete vaginal septum is rare, and most have a small hole in the center of the septum, sometimes only accessible through a thin probe. Menstrual blood can flow out without symptoms until difficulties in sexual intercourse or obstructed labor during delivery are discovered. Vaginal septum can lead to infertility in women.

　　Whether the vaginal septum presents clinical symptoms largely depends on whether there is a hole in the septum and the height of its position. There are also differences in thickness; some vaginal septa are very thin, resembling paper, while others are thicker. Complete vaginal septum is rare, and most have a small hole in the center of the septum, sometimes only accessible through a thin probe. Menstrual blood can flow out without symptoms until difficulties in sexual intercourse or obstructed labor during delivery are discovered. If there is no hole in the septum, symptoms may appear after the first menstrual period due to blood stasis. When examining, attention should be paid to whether there is a hole above the septum (usually in the central area), and if there is a hole, a probe can be inserted to investigate the width and depth of the upper vagina for diagnosis. Incomplete vaginal septum is more common and often asymptomatic and overlooked.

　　The vaginal septum is formed due to the non-penetrated connection between the two mesonephric ducts at the site where the tail end connects with the urogenital sinus. It is commonly located at the junction of the upper and middle segments of the vagina. Complete vaginal septum is rare, and most have a small hole in the center or on the lateral side of the septum through which menstrual blood can pass. A higher positioned septum does not affect sexual life and is not easily discovered early; a lower positioned one is less common but often leads to medical consultation early due to its impact on sexual life. The complete form often causes infertility due to blood stasis and blockage of the fimbriae of the fallopian tubes. Incomplete septum, on the other hand, has a lower pregnancy rate. During delivery, a thicker septum can obstruct the descent of the presenting part and may require cesarean section. Most septa are thin and can be delivered vaginally after being stretched by the presenting part. If discovered before pregnancy, cutting and removing the excess part of the septum can increase the chances of pregnancy.

　　When checking for a vaginal septum, first pay attention to whether there is a small hole on the machine diaphragm (usually in the central part), and for those with holes, use a probe to insert it into the hole to explore the width and depth of the upper vagina to make a diagnosis.

　　A vaginal septum refers to the vaginal plate formed by the growth and elongation from the urogenital sinus to the vaginal bulb during the embryonic period. When the cavity is formed from the bottom up, it is blocked, resulting in the incomplete penetration or incomplete cavitation of the vaginal septum. Vaginal septum can be treated surgically. The following introduces the food therapy for vaginal septum.

　　1. Jujube Brown Sugar Cooked Pumpkin

　　Formula: 500g of fresh pumpkin, 20g of jujube, and an appropriate amount of brown sugar.

　　Preparation: Peel the pumpkin, cut it into small cubes, add jujube and brown sugar, and cook with water until done.

　　Usage: Eat with meals, and it is better to eat on an empty stomach.

　　Applicable: Suitable for those with deficiency of both Qi and blood after surgery and weak physique.

　　2. Black Sesame Soy Milk

　　Formula: 30g of black sesame seeds, 40g of soybean powder.

　　Preparation: Roast black sesame seeds with low heat until they are cooked, grind them into fine powder and set them aside. Put soybean powder in a pot, add an appropriate amount of water, mix it into a thin paste, soak for 30 minutes, cook over low heat until boiling, filter the soy milk with gauze, add it back to the pot, cook over low heat until boiling, add black sesame powder, mix well and it is ready.

　　Usage: Take in the morning and evening, and you can add a little brown sugar when taking it.

　　Applicable: Especially suitable for those with deficiency of both Qi and blood after surgery and insufficient liver blood.

　　During the process of embryo development, if a failure occurs, a vaginal septum can be formed. So, how to treat a vaginal septum? The following experts introduce the treatment methods for vaginal septum:

　　1. Those without symptoms or with thin diaphragms can temporarily not undergo surgical treatment.

　　2. For those with a low position, unsatisfactory sex life, or infertility, make an 'X' incision and separate the mucosal slices from the small hole as a base, and trim the wound after cutting.

　　3. After clear diagnosis and timely surgery for those without a hole, make an 'X' incision centered on the puncture needle and trim.