Intriguing case of transverse vaginal septum: unusual presentation and diagnostic insights

The transverse vaginal septum is a type of Mullerian duct anomaly that occurs due to incomplete fusion or re-canalization of the vaginal and Mullerian structures. Typically, this condition presents as primary amenorrhoea along with cyclical abdominal pain, although it can also manifest as dyspareunia and infertility. Our 24-year-old female patient exhibited symptoms of menstruation upon manual expression, dyspareunia, and infertility. Following the excision of the septum, the patient resumed regular menstrual cycle and is currently 5 months pregnant. This case report focuses on unusual presentation of transverse vaginal septum (TVS) and also signifies how important is to take proper history and clinical examination.