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In either case, surgical intervention may be needed to allow menstrual fluid to pass or intercourse to take place at all.

Prepubescent girls' hymenal openings come in many shapes, depending on hormonal and activity level, the most common being crescentic posterior rim : no tissue at the 12 o'clock position ; crescent-shaped band of tissue from 1—2 to 10—11 o'clock, at its widest around 6 o'clock.

From puberty onwards, depending on estrogen and activity levels, the hymenal tissue may be thicker, and the opening is often fimbriated or erratically shaped.

In adolescents, the hymenal opening can naturally extend and variation in shape and appearance increases. Variations of the female reproductive tract can result from agenesis or hypoplasia, canalization defects, lateral fusion and failure of resorption, resulting in various complications.

Historically, it was believed that first sexual intercourse was necessarily traumatic to the hymen and always resulted in the hymen being "broken" or torn, causing bleeding.

However, research on women in Western populations has found that bleeding during first consensual intercourse does not always happen or is less common than not bleeding.

In several studies of adolescent female rape victims, where patients were examined at a hospital following sexual assault, half or fewer of virgin victims had any injury to the hymen.

In a study of adolescents who had previously had consensual sex, approximately half showed evidence of trauma to the hymen. Trauma to the hymen is hypothesized to occur as a result of various other behaviors, such as tampon or menstrual cup use, pelvic examinations with a speculum , masturbation, gymnastics, or horseback riding, although the true prevalence of trauma as a result of these activities is unclear.

The hymen is often attributed important cultural significance in certain communities because of its association with a woman's virginity. In those cultures, an intact hymen is highly valued at marriage in the belief that this is a proof of virginity.

In the 16th and 17th centuries, medical researchers mistakenly saw the presence or absence of the hymen as founding evidence of physical diseases such as "womb-fury", i.

If not cured, womb-fury would, according to doctors practicing at the time, result in death. Due to similar reproductive system development, many mammals have hymens, including chimpanzees, elephants, manatees, whales, horses and llamas.

From Wikipedia, the free encyclopedia. This article is about the vaginal membrane. For the village, see Heyman, Iran. For other uses, see Hymen disambiguation.

External genital organs of female. The labia minora have been drawn apart. Arrows point to carunculae myrtiformes "remnants" of the hymen in a post-pubertal individual.

Main article: Virginity test. This section's factual accuracy is disputed. Relevant discussion may be found on Talk:Hymen.

Please help to ensure that disputed statements are reliably sourced. November Learn how and when to remove this template message.

Jean, eds. New York: Oxford University Press. Paige Clinical protocols in pediatric and adolescent gynecology. American Family Physician.

University of California, Santa Barbara. Retrieved September 19, While some females bleed the first time they have penetrative intercourse, not every female does.

This depends on many factors, such as how much hymenal tissue a female has, whether her hymen has already been stretched or torn, or how thick and elastic it is.

We agree with Rogers and Stark that so called rupture and bleeding of the hymen is not to be routinely expected after first sexual intercourse.

Simpson's Forensic Medicine 11th ed. London: Arnold. Possible explanations for the lack of genital trauma include In Mann, Gurdeep S.

Imaging of Gynecological Disorders in Infants and Children. Medical Radiology. Please contact us to tell us about your project or request a preview.

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Return to royalty-free licenses. Marc Romanelli. Creative :. Hymen surgery can be done for a few reasons, either to repair a broken hymen or removing extra hymen tissue that blocks the vaginal opening.

This is essentially a cosmetic surgery performed to repair a broken hymen for personal reasons. The hymen is surgically reclosed to cause bleeding upon sexual intercourse.

Some people may choose to do this for personal reasons or out of necessity due to spiritual beliefs. It can also be performed after cases of rape.

This is the surgical procedure used to open a hymen that is imperforate, Microperforate or Septate. Usually an anatomically correct hymen can be stretched and broken during first intercourse or tampon use without too much trauma.

The concern is that there is an artery that runs along the side of the hymen and can cause major bleeding. Having a Hymenectomy can decrease the risk of bleeding and allow fluids to leave the vagina easier.

Keep in mind that the hymen can only be completely ruptured by sexual intercourse or use of tampons. Some women may choose to attempt stretching it to make first intercourse more pleasurable.

Here are a few tips to help stretch the hymen:. Your email address will not be published. Save my name, email, and website in this browser for the next time I comment.

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Please contact us to tell us about your project or request a preview. Girls who actively play sports or use tampons may not have a hymen anymore.

When the hymen ruptures, there may be bleeding and pain. If the rupture was not due to first time sexual intercourse, a small rupture may heal back to its normal state.

The hymen tends to be thinner in children and thickens at the onset of puberty due to hormonal changes. There are many different things to learn about the hymen and it is very significant in some cultures.

Many spiritual and traditional practices look at it as a source of mystery about women. There are also practices that can be looked upon as harsh.

For a woman to give her husband her virginity on their wedding night is a very honorable thing in almost every culture. This is no longer practiced, as there are so many factors that could render the hymen absent or it may never have existed at all in a female from birth.

In recent times, there has been an increased in hymen repair surgeries. Since there is a trend in pre-marital sex in recent times, many women have chosen to have it repaired prior to marriage.

This may be of personal choice or a moral concern. It depends heavily on personal, spiritual and cultural beliefs whether this surgery should be done or not.

Different types Of hymen. The hymen is located in between the two-folds of the vulva. As a female grows, the folds of tissue open up, stretch and may even tear during activity.

Some girls may notice blood spots in their underwear from this happening. This is the situation where the hymen does completely cover the opening to the vagina.

American Family Physician. University of California, Santa Barbara. Retrieved September 19, While some females bleed the first time they have penetrative intercourse, not every female does.

This depends on many factors, such as how much hymenal tissue a female has, whether her hymen has already been stretched or torn, or how thick and elastic it is.

We agree with Rogers and Stark that so called rupture and bleeding of the hymen is not to be routinely expected after first sexual intercourse. Simpson's Forensic Medicine 11th ed.

London: Arnold. Possible explanations for the lack of genital trauma include In Mann, Gurdeep S. Imaging of Gynecological Disorders in Infants and Children.

Medical Radiology. Jean; Muram, David Oxford University Press. Retrieved February 2, Different normal variants in hymenal configuration are described, varying from the common annular, to crescentic, to navicular "boatlike" with an anteriorly displaced hymenal orifice.

Hymenal variations are rarely clinically significant before menarche. In the case of a navicular configuration, urinary complaints e.

Sometimes, a cribriform fenestrated , septate, or navicular configuration to the hymen can be associated with retention of vaginal secretions and prolongation of the common condition of a mixed bacterial vulvovaginitis.

Blueprints Obstetrics and Gynecology. BMJ Case Reports. Encyclopedia of Jewish Medical Ethics. Occasionally, the hymen is harder than normal or it is complete and sealed without there being This condition is called imperforate hymen and, at times McGraw-Hill Professional.

Imperforate hymen represents a persistent portion of the urogenital membrane It is one of the most common obstructive lesions of the female genital tract.

Tijdschrift voor Seksuologie in Dutch. Retrieved September 7, Archives of Sexual Behavior. May 1, Journal of Clinical Forensic Medicine.

Hymen injury was noted in 40 Journal of Pediatric and Adolescent Gynecology. Psychology Today. Retrieved September 8, American Journal of Obstetrics and Gynecology.

Child: Care, Health and Development. No scar tissue formation was observed in either group of girls. June 8, A review of the literature".

Forensic Science International. Jean; Woods, Elizabeth R.

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