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Vaginal anomalies are a category of disorders occurring before birth and involving abnormally formed or absent vaginas the closed muscular canals that extend from the outside of the female genital area to the cervix, the neck of the uterus. Typically, patients progress through puberty normally but never have a menstrual period. If there is menstrual blood collecting in the upper vagina, the patient may present with abdominal or pelvic pain. If the upper vagina is quite distended with menstrual blood, the patient may also have urinary symptoms — such as urinary frequency, urinary urgency, or feelings of incomplete voiding. In cases of a longitudinal vaginal septum, patients will menstruate normally, but may have difficulty with tampon insertion or vaginal intercourse. They may also report that they can insert a tampon, continue to notice menstrual blood leaking around the tampon.
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Vaginal Abnormalities: Vaginal Agenesis: Symptoms, Diagnosis & Treatment - Urology Care Foundation

A pelvic exam is where a doctor or nurse practitioner looks at a girl's reproductive organs both outside and internally. This includes feeling a girl's uterus and ovaries to be sure everything's normal. Teens don't usually get pelvic exams. Sometimes doctors do pelvic exams if they think there's a problem. For example, if a girl complains of heavy bleeding, missed periods, or discharge, the doctor will want to check for a cause. Otherwise, doctors don't recommend regular pelvic exams or Pap smears until a woman is 21 years old. A medical assistant or nurse will give you a robe to wear and a sheet to cover you.
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In most girls, the first sign of puberty is when breasts start to develop. You might be 8, or you might be 13 when this happens. Either way, this age range is perfectly normal. You may also find that your nipple area becomes more sensitive at the start of puberty. Breasts come in all shapes and sizes.
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Vaginitis is any inflammation or infection of the vagina. It's a common problem in girls and women of all ages. It develops when the walls of the vagina become inflamed because of an infection or irritant. Bacteria, yeast, viruses, and chemicals can cause vaginitis. The most common types are:.
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