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However, many patients with an imperforate hymen will present after puberty with acute onset pelvic pain or acute urinary retention. The obstetrician—gynecologist should start with a physical examination. If the physical examination reveals a bulging hymen and ultrasonography reveals hematocolpos, further imaging is not required.
There are plenty of such questions that frequently crawl in the Hymen and Virginity: A Social Humiliation Page 1 fminds of males and even some females. Inadequate knowledge, societal and cultural myths have actually hidden the truth lying between hymen and virginity. Obstet Gynecol ;e—6. This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary.
This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the standard of care. It is not intended to substitute for the independent professional judgment of the treating clinician.
Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology.
The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence. Any updates to this document can be found on acog. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented.
All ACOG committee members and authors have submitted a conflict of interest disclosure statement related to this published product. The ACOG policies can be found on acog. For products jointly developed with other organizations, conflict of interest disclosures by representatives of the other organizations are addressed by those organizations.
The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product. Figure 1. Anatomic variations of the normal hymen. A normal, B imperforate, C microperforate, D cribriform, and E septate. Reprinted from Laufer MR. Office Evaluation of the Child and Adolescent. Pediatric and adolescent gynecology.
Figure 2. The septate hymen can be identified by tenting the tissue with a cotton swab. Image courtesy of Anne-Marie E. Figure 3. Imperforate hymen. Downward labial traction allows adequate visualization of the hymen. A bulging imperforate hymen has a bluish discoloration with hematocolpos. Figure 4. Distal vaginal atresia. Figure 5. The initial cruciate incision of the imperforate hymen is made with care to avoid the urethra.
Figure 6. The location of the U-shaped incision for an imperforate or microperforate hymen is indicated by the dots. Bulk pricing was not found for item. Please try reloading page.
For additional quantities, please contact sales acog. It is normally non-tender to light or moderate touch. When the labia are spread open, the hymen or remnants of the hymen are visualized. This ring-like structure is usually torn at first intercourse, leading to a small amount of bleeding. For some women, insertion of tampons or other objects will lead to hymeneal rupture.
After healing, only small bumps or flaps of skin remain. Anatomic variation with hymens is considerable. Some are thin, stretchy, and so small as to be largely unnoticed. Others are thick and nearly impenetrable. Rarely, the hymen completely covers the vaginal opening, disallowing the passage of menstrual products.
Just inside the hymen is the beginning of the vagina. Any husband feels a rush of blood in his body and everywhere else, once he breaks this 'freshness seal'. The thought of his wife losing her virginity gives him a different high. But here, Adam Ruins Everything has come up with a video, breaking down the myth surrounding deflowering. It is absolutely normal for a girl to bleed a little as she loses her virginity.
This happens because the hymen breaks during her first penetration. But this may not always be the case, as the hymen can break over time due to various sports-related activities or if she uses tampons.
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