Imperforate Hymen

Imperforate Hymen


INTRODUCTION OF IMPERFORATE HYMEN:

  • This condition is one of the most common types of blockages of the vagina.
  • An imperforate hymen is a condition in which the hymen covers the entire opening of the vagina, sealing it shut.
  • The condition is a congenital disorder, meaning that it’s something a girl is born with. 

SYMPTOMS OF IMPERFORATE HYMEN   :

  • Symptoms often appear when a girl reaches puberty, and may include abdominal pain and swelling that can last days.
  • Heamatocolpos : vagina fills with menstrual blood
  • Hematometria:uterus fills with (menstrual) blood
  • Physical symptoms generally occur because of a buildup of menstrual blood trapped in the vagina. That blood can also spill into the uterus and fallopian tubes.

Other symptoms of an imperforate hymen include:

  • Lack of a menstrual cycle despite having other signs of sexual maturity, such as developing breasts and pubic hair.
  • Abdominal or pelvic pain, often come and going each month.
  • Back pain.
  • Painful urination or no urination at all. This can occur when pooled blood presses against the urethra. The urethra is a tube that carries urine from the bladder to outside the body.
  • Bowel problems, such as constipation.
  • Cryptomenorrhea occurs due to Imperforate hymen
  • Some women may also have a painful abdominal mass.

TREATMENT OF IMPERFORATE HYMEN:

  • The standard treatment is to surgically cut away part of the hymen using a scalpel or laser. This procedure is called an hymenotomy.
  • Usually an X-shaped cut versus a small, pinpoint one is made in the hymen. 
  • This type of cut allows for proper drainage of backed-up menstrual blood and the subsequent relief of symptoms. 
  • Some doctors will stitch the ends of the incision to the vaginal wall to help prevent the hole from closing.
Exam Question
 
  • Cryptomenorrhea occurs due to Imperforate hymen
  • Acute pain in the lower abdomen & tense bulge in the region of hymen in 13 year old with absence of menarche suggests Imperforate hymen
  • Heamatocolpos is seen in Imperforate hymen
Don’t Forget to Solve all the previous Year Question asked on Imperforate Hymen

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