Dear Flist

I have come to the conclusion that when one needs advice, insight or knowledge this is the place to start.  A bit of background:

My friend Kat has a 14 year old kitten who is now in the midst of what maybe a medical crisis.  She started her monthly cycle about 2 years ago and about a year ago had a normal female exam.  In the last 4 months she has been having at least 2 cycles a month (not good).  Kat is the non-custodial parent and finally convinced kitten's father to take her in to the Dr.  The Dr recommended hormonal therapy (ie birth control) to regulate her cycle, but wanted to do another yearly check-up first.  This is where problem begins.  They could not perform the exam.  There is some kind of mass blocking, the Dr could not even insert a finger. They have ordered an ultra sound for this Friday. 

Obviously there is a lot to be considered. Kat has a personal history of cervical cancer and her own mother had many problems with pregnancies.  Everything Kat has read on-line is pointing toward Vaginal Cancer, but she can find no reported information of this condition in one so young. Any information you could provide would be greatly appreciated.

From: [identity profile] tudorpot.livejournal.com


I'm a little confused- human or feline. If the former - consider she might have an imperforate hymen. A good gyno will be able to sort this.
"Anatomic anomalies

Consider anatomic anomalies that can be confused with imperforate hymen in the differential diagnosis. These anomalies include the following:

* Acquired labial adhesions
* Obstructing or partially obstructing vaginal septa (longitudinal or transverse)
* Vaginal cyst
* Vaginal agenesis (Mayer-Rokitansky-Kuster-Hauser syndrome) with or without the presence of a uterus or functional endometrium
* Androgen insensitivity syndrome (testicular feminization)

Frequency

Imperforate hymen is likely the most frequent obstructive anomaly of the female genital tract, but estimates of its frequency vary from 1 case per 1000 population to 1 case per 10,000 population. Heger et al examined 147 premenarchal girls with a mean age of 63 months to collect normative data on genital anatomy; an imperforate hymen was found in only one patient (<1%) and hymenal septa were found in 3 (2%).1

Imperforate hymen usually occurs sporadically, but a handful of cases have been reported to be familial.

http://emedicine.medscape.com/article/269050-overview

From: [identity profile] irishredlass69.livejournal.com


Human indeed. My girlfriends nickname is Kat so her daughter has become "kitten". Make sense now?

Is what you have related similiar to, in lay-man's terms polyps? Kat's mother indicated that both she and Kat's grandmother had experienced this anomily.

From: [identity profile] tudorpot.livejournal.com


No, not polyps. btw cervical cancer in my experience does not create a mass/tumor that fills the vagina. Polyps are more common in the uterus and thus not in the vagina. re your other comment, it is possible the dad does not know what sort of exam was done, they are usually excluded from the room.

From: [identity profile] tudorpot.livejournal.com


just re-read your post-it is unusual for a 13 year old to have a pap if not sexually active- are you sure she had an internal vag exam last year? Hope things turn out well for her.

From: [identity profile] irishredlass69.livejournal.com


Yes, I too thought this odd, but her father is a little weird and apparently insisted on this. Personally, that created warning bells in my mind when I heard that!

From: [identity profile] beffeysue.livejournal.com


I hope Kitten will be all right. I'm saying my prayers.
Beth
.

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