Hymenoplasty
HymenIn other words, the hymen is the curtain-like structure located 1.5 cm inside the vaginal entrance. It is surrounded by the canal-shaped vaginal wall. The diameter of the hymen is approximately 2-3 cm and its thickness is 1-3 mm. varies between . When the hymen, which has a thin and loose tissue consistency, breaks down, the curtain-like frame disappears. Surgical suturing is performed to repair the hymen when it is broken.Hymenoplastyis called. The middle of this thin curtain is open for menstrual bleeding and does not completely cover the entrance to the vagina. The structure and location of the hymen is different in every woman. This difference causes the formation of various hymen types.
Hymen Types
Round hymen (Annular Hymen):
It is called the ring-shaped hymen with a hole in the middle. If the hole in the middle is large enough, the membrane may not rupture with the passage of the penis. Flexible membrane, as it is called among the public, is called hymen supple in the medical literature. This is the most common hymen shape. Its incidence is around 60-95%.
In genital aesthetic applications, the decision is not only based on appearance expectations; Functional complaints should be evaluated together with the impact on sexual life and the patient's realistic expectations [1][2].
Article Summary
Hymen, or hymen, is the curtain-like structure located 1.5 cm inside the vaginal entrance. It is surrounded by the canal-shaped vaginal wall.
What Will You Find in This Article?
- Hymen Types:This section explains basic information on the subject, the evaluation process and points to consider.
- Round hymen (Annular Hymen)::This section explains basic information on the subject, the evaluation process and points to consider.
- Half Moon Hymen (Crecentric Hymen)::This section explains basic information on the subject, the evaluation process and points to consider.
- Imperforate hymen (Imperforated Hymen)::This section explains basic information on the subject, the evaluation process and points to consider.
Half Moon Hymen (Crecentric Hymen):
The hymen has a half-moon shape. The membrane is thinner or absent at the top, while it is prominent at the back. The frequency of occurrence varies. These types of membranes generally do not rupture during intercourse.
“The goal in hymenoplasty decision is not only appearance; it is also to evaluate comfort, function, safety and the person's expectations together.”
Imperforate hymen (Imperforate Hymen):
The vaginal entrance is completely closed and there is no hole in the middle of the hymen. People with this membrane do not experience any menstrual bleeding. Bleeding cannot be expelled from the body and menstrual blood accumulates in the vagina behind the hymen. It is a very painful condition and the problem is solved by surgically opening the membrane.
Hymen with Separation (Septa Hymen):
In the middle part of the hymen, there is an intermediate piece of tissue belonging to the membrane that divides the space. Its incidence is between 1.5% and 5%.
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Hymen with Half Partition:
The type of semi-divided hymen has no functional importance. It can only be seen incidentally during gynecological examinations.
Microperforated Hymen:
The hole in the middle of the membrane is quite small. Menstrual bleeding becomes painful. Sometimes it may be necessary to widen the membrane opening with surgical intervention.
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Fimbrial Hymen:
In women, the last part of the fallopian tube is known as the "fimbria". The appearance of this type of hymen is similar to the fimbria of the tube.
Lip-shaped Hymen:
The hole in the hymen is shaped like a "lip". It is a very rare appearance of the hymen.
Multiparous Hymen:
In women who have given birth normally, the hymen ruptures due to birth and the remaining parts are called "carincle hymen remnant".
Hymenoplasty Operation
which is a surgical procedurehymenoplastyIt is performed 1 or 2 cm inside the vaginal entrance. After the preliminary examination in the clinic, the hymen that has lost its tissue integrity or has been torn for any reason is repaired in a short time, upon the request of the person. The stitching of this curtain-like tissue at the entrance to the vagina is painless and takes place in a short time. The main purpose of this procedure is to ensure that there is no bleeding during the first intercourse after the repair.
In preoperative counseling, normal anatomical diversity, healing process, scar, change in sensation, and the possibility of revision should be clearly discussed [1][2].
HymenoplastyIt happens in a very short time. If a permanent hymen is desired, the procedure takes a maximum of 30 minutes; if a temporary hymen is desired, the procedure takes a maximum of 10 minutes. Considering the preparation and inspection stages, the entire process is completed in approximately 1 hour. Since the stitches are dissolvable, there is no need to remove the stitches after hymen stitching.
Is Hymenoplasty Operation Understandable?
HymenoplastyThe most frequently asked question after the procedure is whether this procedure will be understood by the partner during or before intercourse. Only obstetricians and gynecologists can understand the procedure; it is not possible for the partner to understand it during intercourse.
Choice of surgical or non-surgical application; It should be personalized according to examination findings, tissue structure, birth history and the person's complaint [1][3].
How Does Hymenoplasty Help Hymen Aesthetics?
Hymen aesthetics is the process of restructuring the membrane called hymen, which consists of fibrous and elastic tissues. Many women experience hymen rupture before losing their virginity. For example, cycling, gymnastics, running, etc. It may be due to reasons.Hymenoplastyis the suturing of the edges of the torn hymen and thus restoring its natural appearance.
Complaints related to sexual health are not only about anatomical appearance; Pain, dryness, infection, hormonal status and psychological factors should also be evaluated [3].
Hymen Aesthetic Operation
Are You an Ideal Candidate for Hymen Aesthetics?
Typically, women have hymen aesthetics for religious and cultural reasons. An intact hymen is very important as it expresses a woman's chastity. However, the hymen can rupture during non-sexual activities, including cycling, horseback riding or sports. However, it is due to the social environment that a girl thinks that repairing her hymen is necessary.
Are You an Ideal Hymen Aesthetic Candidate?
• If you are over 18
• You are in good general physical and mental health
• If the hymen is ruptured due to sexual or non-sexual reasons
It is also very important to determine whether hymen repair is possible during the check-up.
Post-Treatment Guidelines
hymen plantingThe person is kept under surveillance for a few hours to avoid any problems afterwards and to ensure that you can return home the same day. You can continue working after 3-4 days. It is important for your recovery not to do too heavy sports. Take a break from your sexual life for 4-5 days as this delays healing.
References
- [1] ACOG - Elective Female Genital Cosmetic Surgery- Expert opinion for consultancy, expectation management and ethical evaluation in genital plastic surgery.
- [2] RCOG - Ethical considerations in relation to female genital cosmetic surgery- Ethical and clinical evaluation principles in female genital aesthetic applications.
- [3] ISSWSH - Patient resources- Patient resources about women's sexual health and genital area complaints.