title: Obstructive reproductive tract anomalies.
abstract: BACKGROUND
  Approximately 7% of girls will have an anatomic abnormality in their reproductive tract, diagnosed before or after puberty.
  
  
  OBJECTIVE
  It is important for providers to be aware of the obstructive reproductive tract conditions, the way in which various conditions present, and the way in which such conditions should be managed.
  
  
  METHODS
  Systematic review of the literature using the GRADE evidence system.
  
  
  RESULTS
  There is limited data in most areas of obstructive reproductive tract anomalies; however, some retrospective and prospective series with small numbers are still useful to guide clinical practice.
  
  
  CONCLUSIONS
  Recommendations are based on limited or inconsistent scientific evidence. Recommendations are based primarily on consensus and expert opinion.
authors.affiliation: Division of Pediatric and Adolescent Gynecology, Department of OBGYN, Baylor College of Medicine, Houston, TX.
authors.forename: Jennifer E
authors.initials: JE
authors.lastname: Dietrich
authors.affiliation: Department of OBGYN, University of British Columbia, Vancouver, BC.
authors.forename: Debra M
authors.initials: DM
authors.lastname: Millar
authors.affiliation: Department of OBGYN, University of Michigan, Ann Arbor, MI.
authors.forename: Elisabeth H
authors.initials: EH
authors.lastname: Quint
mesh_terms: D000013:Congenital Abnormalities; D005260:Female; D005836:Genitalia, Female / Q000196:embryology; D006801:Humans; D006924:Hymen / Q000002:abnormalities* / Q000601:surgery; D008599:Menstruation Disturbances / Q000150:complications / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D009095:Mullerian Ducts / Q000002:abnormalities* / Q000196:embryology; D010146:Pain / Q000209:etiology; D012741:Sexual Maturation; D014564:Urogenital Abnormalities / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D014599:Uterus / Q000002:abnormalities*; D014621:Vagina / Q000002:abnormalities* / Q000601:surgery
keywords: Cervicovaginal agenesis/dysgenesis (II-3, III); Imperforate hymen diagnosis and management (II-3); Lower vaginal atresia (III); Müllerian anomaly; OHVIRA diagnosis and management (II-3, III); Obstructed uterine horn (III); Obstructive; Outflow tract; Vaginal septum diagnosis and management (II-3, III); We strongly recommend that such conditions be managed by physicians with special expertise in this area (Levels B and C)