Hymen(HI-min) - The hymen is a thin, delicate membrane (a membrane is like skin butmuch thinner). It partially covers the opening of the vagina in most girls.
? Thehymen is named after, Hymenaeus, the Greek god of marriage and the weddingfeast or song. ? Hymenaeus,son of Aphrodite and Dionysus, is mentioned in the Illiad and the Aeneid and istypically depicted with the marriage torch held aloft.
Biologicalfunction of human hymen is uncertain.
Hypotheticalfunction is to protect the vagina from infection in infant.
Allowoutflow of menstrual blood.
Mythicalsymbol of virginity in many culture.
Annularor circular- in whichthe hymen forms a ring around the vaginal opening
Dentatefimbriated or denticular hymen -- a hymen with an opening whichhas serrate edges
-crescentricor lunar hymen, amoon-shaped hymen.-- anterior , posterior
-hymenbifenestratus, --a hymen with two openings side byside and a broad septum between them.
-Septate- a hymen in which the opening isdivided by a narrow septum.
-hymensubseptus-- a hymen in which the opening is partially filled bya septum growing out of one wall, but not reaching the other.
-Cribriformor fenestrated - full of holes.
-Completeabsence of hymen Microperforate --almost completely covers theopening but there is the opening whichis very small
bImperforate--completely covers the opening
Sexual Intercourse, Masturbating. Non-sexual Sports, Driving, Two Wheeler's Cycling, Horse Riding, Gymnastics.
Hymentears during intercourse posteriorly or posterolaterally.
Tearswith slight bleed which stops spontaneously.
Occasionallybleeds profusely due to torn vessel. Gets controlled by direct pressure, rarelyrequires suturing or ligation.
Hymeneven may not be lacerated with multiple coitus. In fact, many cases withpregnancy have been reported in whom the hymen is intact.
Somewomen even are born without a hymen. ? In Arabic & many Indian cultures, Thehymen is referred as "wish al-bent," or "face of the girl." In other words, without it, youhave no identity, you have no words.
CulturalReasons – Rape victims to over come guilt feeling. Custome of some tribes,false beliefs of virginity.
Totighten vagina for better sex demanded by divorcee or widows before re-marriage.
Analgesic/ Anti-Inflamatory one hour before operation.
Temporarydone within 3days to 3 weeks before marriage
IfHymen not too damaged recreate hymen by piercing together remounts as acircular membrane.
Inserting a gelatin capsule filled with a blood-likesubstance that will burst during intercourse, simulating bleeding.
Minimumbefore 8 weeks of marriage.
Identifyshreds of hymen at 12, 3, 6, 9 O'clock position.
Splitopen tags in to ant & post layer
Circular closure two major tags. The Definitive Procedure
Whenthe hymenal remnants are insufficient.
1- approximates undermined hymen remnants.
2- or a vaginal flap .
1- approximates undermined hymen remnants and often produces vascular bandsacross the introitus.
2- attaches a vaginal flap (A small section)from the vaginal wall across the opening, often produces vascular bands acrossthe introitus.
Theprocess takes one to two hours, and patients can return to work the next day.
Itis procedure that can be done under local anaesthesia and done as a day caresurgery.
Thesutures are dissolvable.
Oneshould allow it to heal and avoid getting married for six weeks after surgery.
Takes8 weeks to heal.
Avoidsexual activity, sport & any thing that can disrupt healing.