Secondary Amenorrhea from Long Forgotten Intracervical Herbal Concoction Pessary: A Case Report and Review of Literature
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Abstract
Vaginal pessaries are used in gynaecology to treat utero-vaginal prolapse or urinary incontinence (pelvic floor disorders). However, self-administered or provider-administered per vagina insertion of herbal materials and concoctions is a practice prevalent amongst the low socioeconomic class of developing nations with poor access to good comprehensive health care. These oftentimes unhygienic and toxic materials may present with symptoms of immediate and or long-term complications. Asymptomatic cases may be forgotten only to be discovered incidentally. This study reports the case of a 47-year-old nullipara with amenorrhoea and infertility with an incidental finding of long forgotten intracervical herbal packing. The prolonged herbal pessary caused chemical vaginitis, scarring and subsequent cervical stenosis and amenorrhoea.
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