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Postpartum Vaginal Agglutination: A Case Report

Howard, Tera Frederick MD, MPH*; Lewicky-Gaupp, Christina MD*†

Female Pelvic Medicine & Reconstructive Surgery: May/June 2012 - Volume 18 - Issue 3 - p 188–189
doi: 10.1097/SPV.0b013e318253217a
Case Reports

Background: Vaginal agglutination after spontaneous vaginal delivery has not been previously described in the medical literature.

Case: A healthy 35-year-old Gravida 2 Para 2002 had a normal, spontaneous vaginal delivery. At her 8-week postpartum visit, a speculum could not be inserted into her vagina secondary to significant foreshortening. She was breastfeeding at the time. She ultimately underwent scar tissue takedown in the operating room, with subsequent vaginal estrogen and dilator use.

Conclusions: Postpartum vaginal agglutination after spontaneous delivery is rare, and this case highlights an interesting complication of vaginal delivery in a hypoestrogenic state.

From the *Department of Obstetrics and Gynecology and †Division of Urogynecology, Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL.

Reprints: Tera Frederick Howard, MD, MPH, Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL. E-mail: Tera.f.Howard@gmail.com.

The authors declare that they have nothing to disclose.

© 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins