“…1 When hematocolpos is observed in adult women, it often occurs secondary to acquired gynecological conditions such as cervical or vaginal atresia, imperforate hymen, or vaginal scarring following surgery or trauma. 2 In some cases, hematocolpos can be associated with Mullerian duct anomalies, which encompass a range of structural defects involving the uterus, cervix, and upper vagina. 3,4 The diagnosis of hematocolpos is typically made through clinical examination and imaging modalities such as transabdominal or transvaginal ultrasonography, magnetic resonance imaging (MRI), or hysterosalpingography.…”