Question 1: A 23-year-old woman with no menstrual cycle and no cyclic lower abdominal pain was examined in the hospital and found to have an underdeveloped uterus and vagina, but all other physiological features were normal. The family is very anxious. May I ask you, doctor, what kind of surgical treatment is the most effective? You are the leading expert in this field. Is there any obstacle in life after treatment? Dr. Zhu Lan replied: It is recommended that the patient first undergoes chromosome examination and pelvic ultrasound in a local tertiary hospital. You can visit our outpatient clinic. We will take proper care of patients who may have reproductive tract abnormalities and give them additional numbers. If you are an out-of-town patient, you can apply for a telephone consultation to communicate with me first to understand the situation, do not come blindly! For patients with congenital absence of uterus and vagina, we are currently adopting bio-patch hair artificial vaginoplasty, at present we have nearly 70 cases of this surgery, the success rate of the vagina of the patients after the operation is 100%, and the sexual life situation is satisfactory. Question 2: 18 years old female, still in school, but never had menstruation, in the past few years, every month there will be stomach pain, not obvious, and there is no cycle, could it be a reproductive tract abnormality? Also if so, are there any complications after treatment? Dr. Zhu Lan replied: It is recommended to have a chromosome examination in a local tertiary hospital first, and have a gynecological pelvic ultrasound examination as well as a pelvic MRI examination. You can visit our outpatient clinic, for patients who may have malformation of the reproductive tract, we can add a number, such as you are out of town patients can first apply for telephone counseling to communicate with me first, to understand the situation, do not come blindly! Question 3: I am 26 years old and have never had a period. I went to the examination and said that I have a naïve uterus and a vagina, but it is shallower than normal, with normal chromosomes, and the doctor examined me and said that I have a vagina of 5CM. do I still need to have surgery? I would like to know how many centimeters is the depth of a normal girl’s vagina? Dr. Zhu Lan replied: Normal female vagina length is 8-10cm. are you married? You may not need surgery in your case, but it is recommended that you come for an appointment so that we can advise you according to your situation. Question 4: I am 20 years old and have never had my period. I’m 20 years old and I’ve never had a period. I’ve been having stomach pains at a fixed time every month for seven to eight years, and during the stomach pains, I went to check the blood in the uterus, and I couldn’t get out of the cervical opening, which caused the endometriosis that caused the stomach pains. Dr. Zhu Lan replied: Surgery can be performed, but it is necessary to perform relevant examinations (including pelvic ultrasound, pelvic MRI, etc.) to clarify the type of genital tract abnormality and the vaginal and cervical conditions before proceeding to the next step of treatment. Question 5: I don’t have menstruation at the age of 20, and at the age of 21, I was examined in the hospital and had no vagina or uterus, my stomach would hurt, I took medicine and my uterus didn’t grow, and my uterus was very small, and I didn’t have any plan to get married or have children for the past three years. Dr. Zhu Lan replied: Have you been diagnosed locally with the disease you have? Is it “no vagina; infantile uterus”? If so, it is recommended to have vaginal reconstruction surgery one year before marriage. This kind of disease is useless to take medicine, it is impossible to grow a uterus. You can visit our outpatient clinic and we can add a number to the list of patients who may have malformations of the reproductive tract. Question 6: I am 23 years old, I have been diagnosed with congenital absence of vagina, my chromosomes are normal, is it feasible to use top pressure? Dr. Zhu Lan replied: You can visit my clinic first. If you are eligible for parietal compression (you already have 3-4cm or longer vagina), I can guide you how to perform parietal compression, or you can consult with me on the phone before your visit.