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Hair in the Vagina: A Case Series

Vigliani, Marguerite Barbara MD

Journal of Lower Genital Tract Disease: October 2011 - Volume 15 - Issue 4 - pp 318-321
doi: 10.1097/LGT.0b013e31821a68a5
Case Reports

Background: Lack of estrogen after menopause can cause many changes in the lower genital tract of women, including involution of the introitus and collapse of the vestibule into the genital cleft.

Cases: Six cases of hypoestrogenic women are described, with the unusual finding of entrapment of terminal hairs between agglutinated genital folds or in the vagina. In symptomatic cases, there were severe inflammatory changes accompanying these findings. The initial case prompted a lengthy and costly diagnostic process to no avail. A MEDLINE search yielded several cases of pilonidal disease of the clitoris in younger women, but no reports of hair in the vagina of postmenopausal women.

Conclusions: This report is noteworthy because pilonidal disease in the lower genital tract of postmenopausal women is a less-known clinical entity. A hypothesis is offered based on its clinical similarity to pilonidal disease in the presacral area.

Six postmenopausal women in a private practice setting were found to have free-floating hairs in the vagina or other genital tissues, simulating pilonidal disease.

Department of Obstetrics and Gynecology, Warren Alpert Medical School of Brown University, Women and Infants Hospital of Rhode Island, Providence, RI

Reprint requests to: Marguerite Barbara Vigliani, MD, Warren Alpert Medical School of Brown University, 450 Veterans Memorial Pkwy, East Providence, RI 02914. E-mail mbvmd@fullchannel.net

The author did not receive financial support for this study.

The author has no conflicts of interest to declare.

©2011The American Society for Colposcopy and Cervical Pathology