As a continuation of the series on board objectives for Female Pelvic Medicine/Reconstructive Surgery Fellows, this lecture may be used to achieve a comprehensive understanding of female urogenital tract anomalies. The lecture focuses on urogenital anomalies unique to chromosomally normal females (XX) and excludes those of the intersex. Lecture objectives comprise:
1. A description of embryonic development particularly related to imperforate hymen, transverse vaginal septum, vaginal agenesis, and other common müllerian and gonadal abnormalities;
2. The history, physical examination, and appropriate diagnostic steps relevant to an appropriate evaluation of müllerian anomalies, including hormonal studies, karyotyping, imaging, and endoscopy; and
3. The medical and surgical management as related to imperforate hymen, transverse vaginal septum, vaginal agenesis, and other common müllerian and gonadal abnormalities.