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An imperforate hymen is a situation during which the hymen covers all the opening of the vagina, sealing it shut.
The situation is a congenital dysfunction, which means that it’s one thing a lady is born with. Specialists usually are not positive why it occurs, notes MedlinePlus.
What Is the Hymen?
The hymen is a skinny membrane that often covers a part of the opening of the vagina. It sometimes has a gap that widens as a lady approaches puberty.
Hymens might have completely different shapes, with the commonest form being a crescent moon, based on the Cleveland Clinic.
The presence of a hymen doesn’t point out “virginity.” In actual fact, some ladies are born with out a hymen.
The hymen can stretch or tear throughout sexual activity, tampon insertion, sporting actions, or medical procedures, notes the Cleveland Clinic.
Indicators and Signs of Imperforate Hymen
Docs typically diagnose imperforate hymen in ladies shortly after delivery, however some ladies might not know they’ve it till puberty.
In a pubescent woman, lack of a primary menstrual interval could also be an indication of an imperforate hymen.
An imperforate hymen sometimes doesn’t trigger any issues till a lady will get her interval. At this level, the hymen membrane can block menstrual blood from flowing out of the vagina, notes MedlinePlus.
This blockage might trigger:
- A painful mass or a sense of fullness within the decrease stomach or pelvis (from the buildup of menstrual blood within the vagina)
- Pelvic or belly ache
- Again ache
- Problem urinating
- Painful bowel actions
How Is Imperforate Hymen Recognized?
An imperforate hymen can typically be recognized with a easy pelvic examination.
Throughout a pelvic examination, your physician might have you ever lie in your again along with your knees bent and your ft up on a pair of helps. The physician will examine your genitals for any abnormalities.
Should you seem to have an imperforate hymen, your physician might advocate some extra checks — similar to a pelvic ultrasound — to verify there aren’t different issues contributing to your signs, MedlinePlus.
Therapy and Medicine Choices for Imperforate Hymen
An imperforate hymen may be fastened with a minor surgical process.
Surgical procedure to take away an imperforate hymen may be carried out in infants in some instances, however it’s extra sometimes carried out nearer to puberty, based on MedlinePlus. An imperforate hymen may resolve by itself at puberty, when estrogen ranges improve.
For the surgical procedure, the physician will make a small lower within the hymen to take away the additional tissue and create a normal-sized opening for the vagina. If there’s outdated menstrual blood caught within the vagina, the physician will take away it right now.
In some instances, the physician might insert a small ring on the entrance of the vagina to stop the opening from closing. However most sufferers simply want to use topical emollients or a small quantity of topical estrogen for a brief interval after the surgical procedure, based on StatPearls.
Women sometimes recuperate from the surgical procedure inside a number of days.
After the surgical procedure, you’ll be capable of have regular menstrual durations and may use tampons.
Surgical procedure to take away an imperforate hymen received’t have an effect on a lady’s future capability to have vaginal intercourse or have kids.
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