title: Postpartum Vaginal Stenosis Due to Chemical Vaginitis.
abstract: Acquired vaginal stenosis is a rare obstructing anomaly, which can be caused by use of chemicals in the vagina. A 21-year-old gravida 1 para 1, presented with secondary amenorrhea and inability to have sexual intercourse, after normal spontaneous vaginal delivery complicated by post partum bleeding. The delivery was conducted by untrained traditional birth attendant at home. The wash cloth soaked with caustic soda was packed in the patient's vagina and was left in situ for 10 days, which ultimately led to the severe scarring and stenosis of the vagina. Patient underwent surgical management and the extensive vaginal adhesions were excised and a patent vagina was reconstructed. Patient then reported successful vaginal intercourse without dyspareunia. Post partum vaginal stenosis due to chemical vaginitis is rare. These cases can be prevented by adequate training of untrained health care workers.
authors.affiliation: Head of Department, Department of Obstetrics and Gynecology, Kasturba Hospital , Darya Ganj, New Delhi, India .
authors.forename: Gurcharan
authors.initials: G
authors.lastname: Kaur
authors.affiliation: Senior Consultant and CMO, Department of Obstetrics and Gynecology, Kasturba Hospital , Darya Ganj, New Delhi, India .
authors.forename: Maruti
authors.initials: M
authors.lastname: Sinha
authors.affiliation: OBGYN Physician, Mountainview Women's Health Center, YVFWC , Grandview, WA 99350 USA .
authors.forename: Ridhima
authors.initials: R
authors.lastname: Gupta
keywords: Caustic soda; Chemical burn; Sodium hydroxide; Vaginal atresia; Vaginal gynatresia