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Hymen

Hymen Definition

In simple words, Hymen is a mucous membrane fold that surrounds and partially covers the vaginal passage or opening in females.

Hymen Location

The hymen is located at the mouth of the vagina but not deep inside. One can look at it by spreading the legs wide open and adjusting a small mirror in front of the vagina.

Hymen Pictures

Image 1 : Hymen Picture

Image 2 : Normal  hymen picture

Imperforate Hymen

Typically, the hymen covers the vagina partially. It generally has a hole which stops the menstrual blood flow. Imperforate Hymen is the situation when the Hymen is completely closed which stops the menstrual blood from flowing out.

Image 3 : Imperforate hymen picture

photo source : youngwomenshealth.org

Imperforate Hymen Causes

Imperforate hymen generally occurs during the teenage years. However, this could also be diagnosed during neonatal examination. It is evident that the imperforate hymen in teenagers often is inherent and could also be due to the failure of central epithelial cells of hymen. Inflammatory causes could also be the reason of such problems. In the growing age increase in vagina size and uterus shift can also result in the increase of cystic mass in the abdominal tract.

Symptoms of Imperforate Hymen

  • No menstrual bleeding
  • Lower abdominal pain
  • Problems in Urinary
  • By examining the external genitalia the presence of bluish or reddish mass can be seen between two outer folds of the vulva
  • Constipation can be there in some cases

Imperforate Hymen Surgery

If a woman is suffering from Imperforate hymen, then surgery can be done in order to ease the issue. The surgery helps in removing the hymeneal tissue in order to create a normal-sized vaginal opening. When this minor surgery is done, the menstrual blood can flow out of vagina from the opening.
During childhood, the surgical procedures of vagina and hymen might effect in scarring for consequent surgical revision. Therefore, surgery during this time (when the endogenous estrogen levels are low) is avoided as much as possible. However, during childhood if there is any imperforate hymen suspected, then after the onset of breast development, re-examination should be performed by indicating the fabricating of estrogen. The surgery can be performed after the healing procedure and before the growth of hematocolpos.

For further information on imperforate hymen check out this reference from emedicine - http://emedicine.medscape.com/article/269050-overview

Microperforate Hymen

A microperforate hymen is a thin tissue which almost covers the entire mouth of vagina except a very small hole. This will not stop menstrual blood to flow out completely but it will make it difficult, slow and painful. Using tampon with the microperforate hymen is not advisable as one may even successfully insert an empty tampon but then it would become very difficult for them to remove it when it’s filled. Sometimes teenagers do not even realize that they have a microperforate hymen. It can be treated with a minor surgery and making a normal size opening.

Image 4 : Microperforate hymen picture

photo source : youngwomenshealth.org

Septate Hymen

The Septate hymen is the situation when the regular hymen has extra layer of tissues in the middle which causes more than one but small openings. This causes the same issues as Microperforate hymen.

One can get removed these extra tissues with the help of a minor surgery at the local clinic. It is generally a 15 to 20 minute surgery. One can get discharged from hospital the same day. The area will be sore for a day or two and then it becomes normal.

Image 5 : Septate hymen picture

photo source : youngwomenshealth.org

Hymen Repair and Restoration

Hymen of a woman can gets disrupted after a sexual intercourse or strenuous physical activities. Usage of a tampon can also break the hymen. Hymen repair and restoration surgery is generally asked for the ethnic, cultural, or religious reasons as most of the times the unbroken hymen gets related to the virginity of a female.

Hymenoplasty (Hymenorraphy)

Hymen can be restored when broken and for this, the hymenoplasty can be done. Hymenoplasty or hymen restoration is also known as hymenorraphy. For hymenoplasty, local anesthesic can be used for the dissection of the tissue. This is in order to restrict the small blood vessels from bleeding. When the torn areas are denuded, the edges are stitched together in order to reshape the star-shaped ring just as it was before the sexual relationships, accidents, etc. It is restored in such a way that when sexual intercourse is experienced, the hymen tears again and there will be minor pain as well including the bleeding.

Hymen surgery is generally done in the case of hymen restoration or hymen repair which is required when a woman has Imperforate or microperforate hymen state.

For futher information on hymenoplasty surgery check this – http://en.wikipedia.org/wiki/Hymenorrhaphy

Broken Hymen

Hymen- the thin layer of tissue at the opening of the vagina can get broken with sexual intercourse or few physical activities.  Despite the fact that Hymen has no definite function in the body other than being part of the opening of the vagina; an intact hymen can have great significance as an indicator of a woman’s virginity.

Frequently asked questions on Broken Hymen :

How to tell if my Hymen is broken ?

A doctor can confirm if the hymen is broken or still intact. However, there are some ways which may give idea to the person if the hymen is broken or not. Some of them are:

  • Spread the legs wide open and open the two outer folds of the vulva (Labia Minora) with the help of two fingers. Now place a small shaving mirror in front of your vagina and try to look if you can see a thin ring shaped tissue at the opening of vagina. If it is there the hymen is not broken.
  • One can also try to insert the middle figure which is the longest one inside the vagina and if the figure cannot go in easily more than 1 or 1.5 inch and then if it feels something which is pressing back to your finger tip then your hymen is not broken.
  • The hymen when gets broken may bleed a little and pain and you would know it got broken. However, it is not necessary that a hymen always bleed when it breaks. Some girls do not get bleeding.

How to break your hymen

Are you wondering How to break your hymen? Well, breaking of hymen is not a daunting task. However, you have to be careful in doing this task. Many girls want their first time to be pleasurable and not with pain and break their hymen on their own in order to enjoy steaming sex.

You can break your hymen by following some of the below mentioned steps:

  • Indulge in physical exercise like dancing, horse-riding, cycling, jumping and skipping
  • Insert finger and stretch the fingers gently inside and this can break the hymen, but only partially since the complete breakage of hymen occurs only during the first sex
  • Masturbation can also help in breaking your hymen. However, this depends on how violently the girl masturbates. Some girls insert more than one finger and masturbate, which could lead to hymen breakage
  • If you stick anything in your vagina, then hymen gets broken

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