Microperforated Transverse Vaginal Septum Presenting with Cyclical Dysmenorrhea and Infertility - A Rare Encounter

Background: Transverse vaginal septum is a rare type of mullerian anomaly resulting from failure of the canalization of the vaginal plate at the point where the urogenital sinus meets the mullerian duct1.The presentation will depend on the location and thickness of the septum and presence of any perforation.Case: A 27yrs old married lady presented with regular but prolonged periods with dysmenorrhoea and primary infertility.On examination under anaesthesia two openings were found in the septum that was in the middle third of the vagina, <1 cm thick.The openings were dilated and the thin intervening band, was incised connecting the upper vagina to the lower.She was treated with oral oestrogen for 6wks post operatively.Conclusion: Transverse vaginal septa can present in a variety of ways of which infertility can be one.Proper evaluation is of importance.Management is surgical extent of which will depend on the location and thickness of the septum.