1. Secondary amenorrhea attributed to occlusion of microperforate transverse vaginal septum 
Jennifer L. Nichols, D.O., Eric J. Bieber, M.D., Jennifer S. Gell, M.D. 
Fertility and Sterility 
Volume 94, Issue 1, Pages 351.e5-351.e10 (June 2010)
DOI: /j.fertnstert
Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

2. Figure 1
Ultrasound image demonstrating hematometra, dilation of cervix, and hematocolpos.
Fertility and Sterility  , 351.e5-351.e10DOI: ( /j.fertnstert )
Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

3. Figure 2
First surgery. Laparoscopic images before and after the incision of the septum and drainage of hematometra. (A) The enlarged boggy uterus before evacuation of the large hematocolpometra. (B) Subsequent image of the normal appearing uterus after drainage of retained blood and tissue.
Fertility and Sterility  , 351.e5-351.e10DOI: ( /j.fertnstert )
Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions

4. Figure 3
Medical artist rendition a (A) normal menses occurring through microperforations in the transverse vaginal septum and (B) hematometra, dilation of the cervix, and hematocolpos occurring due to the septal scarring of the microperforated septum.
Illustration provided by Diane Blue-Latranyi, medical illustrator, Geisinger Medical Center, Danville, PA.
Fertility and Sterility  , 351.e5-351.e10DOI: ( /j.fertnstert )
Copyright © 2010 American Society for Reproductive Medicine Terms and Conditions