Every year there is a noticeable increase in the number of adolescents and young women born with genital abnormalities. Genital malformations account for 3-4% of all congenital malformations and are diagnosed in 6.7–25% of patients with disorders in the reproductive system. We examined 26 adolescents and young women with congenital vaginal stricture, aged 18 to 25 years. The complexity of the problem is determined by the difficulty of timely diagnosis and treatment. A large number of diagnostic errors were revealed, which led to incorrect treatment tactics. [2-3] Doctors of almost all specialties are faced with-- the need to solve specific issues of prevention of violations of the reproductive function of women long before the onset of puberty. Congenital stricture or vaginal stenosis is a complex congenital malformation. [2-3] Vaginal stenosis does not lead to a delay in the outflow of menstrual blood, but with the onset of sexual activity there are problems of impossibility or difficulty of sexual life. The anomaly is detected late and causes a lot of social problems. In this regard, early detection of congenital abnormalities of the uterus and/or vagina in girls and adolescents, comprehensive treatment and full-fledged medical rehabilitation should in the future contribute to improving women's sexual health.