1 Ms. Wu: I am 22 years old and found out after birth that I have no vagina, but the doctor said that my uterus and ovaries are developing normally and I can get married and have children if I have vaginal reconstruction. Can I really have children after vaginal reconstruction? What is the difference between a reconstructed vagina and a normal vagina? Does it feel the same when I have sex? Ms. Wu, your case belongs to congenital vaginal atresia, which is related to congenital anomaly without uterus or vagina, which is one of the most common types of female genital anomalies. Fertility is also related to the development of your uterus and ovaries, and if they are functioning properly, you will be able to have children by reconstructing your vagina. For patients with mild cases of this disease, only the lower end of the vagina is atresia, you can just open the diaphragm to restore patency, the function of this type of patient’s guidance is close to that of a normal vagina, and the function is more ideal. For patients with severe disease and congenital absence of uterus and vagina, only complete reconstruction of the vagina can be done. At present, the methods used are vaginal cavity implantation method, autologous mucous membrane transplantation method, as well as laparoscopic autologous peritoneal transplantation reconstruction of the vagina method, bilateral groin flap reconstruction of the vagina method, rectal transplantation reconstruction of the vagina method and so on, and these methods are also some of their own drawbacks and problems that are difficult to overcome. The reason is that it is impossible to recreate the physiological environment and physiological function of the vagina which is moist, antibacterial, free from contraction and secretion of mucus glands. Therefore, the reconstructed vagina has different degrees of lubrication and contraction problems, and is naturally different from a normal vagina. Of course, with postoperative care and local tissue physiological environment changes and adaptation, the reconstructed vagina can fully meet the requirements of sexual life, and even close to the normal vaginal tissue. 2 Ms. Xie’s inquiry: she gave birth to her third child last year, and after that, she could not feel any pleasure when she made love with her lover, and she always felt loose underneath, and her lover felt the same way, and she has very little sex life now. I would like to consult the experts, vaginal looseness is because of the reason of giving birth to too many children? Is it possible to regain the pleasure before sex? Hello Ms. Xie, your question is about vaginal laxity. Vaginal laxity is one of the problems that plague many women after giving birth. The reason for this is due to the long-term excessive pressure of the fetus on the female pelvic floor tissue during pregnancy, and the excessive expansion and pulling of the pelvic floor muscle tissue during natural childbirth, which leads to the damage of the pelvic floor muscle tissue and the damage of the mucous membrane muscle layer in the vagina, which can not be completely regenerated and repaired, leading to a decrease in the tension of the local muscle tissues, resulting in the loosening of the vagina, and even the combination of the rectum, urethra and other diseases and problems. Related diseases and problems. The direct result is a decrease in the quality of life, and of course the damage caused by multiple deliveries will be more pronounced. The emergence of this situation, it is easy to affect the normal life of couples and affect the harmony of couples, for female friends will cause a great psychological burden. Of course, vaginal tightening surgery can be used to strengthen the tension of the pelvic floor muscles and improve vaginal laxity, so as to improve the quality of sexual life. So friends with this kind of situation, do not worry too much, can go to the regular medical institutions. 3 Mr. Zheng’s consultation: I am 27 years old and my genitals are obviously curved in the erectile state and are inclined to the right side. Is this genital anomaly? What are the criteria for determining male genital anomaly? How should it be corrected? Hello Mr. Zheng, the problem of penis curvature has received a lot of attention from male friends. In fact, penile curvature is not uncommon, and a normal penis can have a curvature of about 15°-30°. There are three reasons for penile curvature when the penis is engorged with blood and erected: physiological, congenital, and pathological. Physiological curvature is formed when the corpus cavernosum of the penis fills with blood and is not the same size, so it has no effect on sexual life and can be left untreated. Congenital and pathological curvature is mainly caused by hypospadias, congenital short foreskin tie, penile sclerosis and other reasons. Clinical indications are that the most common diseases causing penile curvature in men are hypospadias, sclerodactyly (or chronic penile cavernous inflammation), which should be diagnosed in order to be treated. Hypospadias is a congenital deformity that manifests itself as a curvature of the penis and displacement of the urethral opening, and should be diagnosed at an early age and surgically corrected. Most of the patients with sclerodactyly are middle-aged people, its etiology is not very clear, may be related to injury and inflammation, mainly manifested as a dorsal side of the penis has one or a few hard plaques and strips, when the penis is erected can cause bending in all directions, and in severe cases, affecting the sex life, due to the surgical excision is easy to recur, and feasible to treat with local medication. So the key for people with curved penis is that they should identify the cause in order to have targeted treatment.