Adolescents  have  suffered  from  disorders  of the  genital  tract  since  human race  began. Malformations  may affect the genital tract  alone or in  association with  urinary  tract or  intestinal  tract Anomaly. Formation  of haematocolpos and or  haematometra  due to the  obstruction  to the outflow  tract  is also known as cryptomenorrhea. In presence of normal  uterus,this  could occur mainly due to imperforate hymen,transverse vaginal  septum,absent vagina.Obstructive lesions of the genital  tract in adolescent femalemay present as acute abdomen. The issues of congenital malformations of  genital tract  are complex pschycologically and gynaecologically. Patient should be treated in multidisciplinary, holistic  manners. Knowledge of  the clinical presentation and Management of these cases is extremely important. 

Keywords: Obstructive Lesions; Imperforate Hymen; Transeverse Vaginal Septum; Acute Abdomen.