It means : Hidden menstruation.
In this case the woman does mesntruate but the products cannot
escape to the exterior.
Usual reason ? : Imperforate hymen.
There is cyclical pain and swelling of the abdomen.
At the vulva a tense blue membrane will be seen when the labia
are parted and the abdominal swelling is due to a gross distension
of the vagina with the menstrual fluid (hematocolpos).
The condition can take months or years to develop to such a degree and
occasionally the patients present with acute retention of urine.
Treatment ? : Incision of the hymen
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