Obstructive anomalies of the female reproductive tract preclude the outflow
of menstruation and may allow the collection of blood in the uterus and/or
vagina and increase the likelihood of retrograde flow, These conditions oc
cur In young women and may result in pelvic masses, endometriosis and/or pa
in. In addition, the long-term sequelae of endometriosis may influence fert
ility. Pediatricians, primary care physicians and gynecologists need to mai
ntain a high index of suspicion. in order to aggressively diagnose these co
ngenital anomalies in young adolescents. In order to maintain this vigilanc
e anti assist in maintaining future fertility, it is important to review th
e embryologic sources of these anomalies, understand the modes of diagnosis
and recognize the treatment options currently available.