title: Postpartum vaginal agglutination:  a case report.
abstract: BACKGROUND
  Vaginal agglutination after spontaneous vaginal delivery has not been previously described in the medical literature.
  
  
  METHODS
  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.
authors.affiliation: Department of Obstetrics and Gynecology, Northwestern University, Chicago, IL, USA. Tera.f.Howard@gmail.com
authors.forename: Tera Frederick
authors.initials: TF
authors.lastname: Howard
authors.forename: Christina
authors.initials: C
authors.lastname: Lewicky-Gaupp
mesh_terms: D000328:Adult; D003251:Constriction, Pathologic / Q000209:etiology / Q000628:therapy; D004106:Dilatation; D004967:Estrogens / Q000627:therapeutic use; D005260:Female; D006801:Humans; D011644:Puerperal Disorders / Q000175:diagnosis / Q000628:therapy*; D000267:Tissue Adhesions / Q000175:diagnosis / Q000628:therapy*; D014621:Vagina / Q000601:surgery; D014622:Vaginal Creams, Foams, and Jellies / Q000627:therapeutic use; D014623:Vaginal Diseases / Q000175:diagnosis / Q000628:therapy*
chemical_list: D004967:Estrogens; D014622:Vaginal Creams, Foams, and Jellies