Obstructive reproductive tract anomalies

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.

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).