What to do with closed hymen

Many people do not understand the imperforate hymen. The hymen of a normal woman is porous, microporous or crescent-shaped, etc. If there is no pore at all, it is called hymen imperforate, which is an abnormality in the process of female reproductive development and is also a common symptom. The imperforate hymen must be treated in time, and surgery is generally a better treatment method.

treat

1. Treatment principles

Early detection, early treatment, and surgery to remove hymen occlusion. Surgical removal of the hymen is best performed during adolescence, when the production of estrogen promotes healing of the vulva. In principle, the hymen should be cut surgically as soon as possible after the diagnosis is confirmed. If the surgery needs to be postponed, the menstrual cycle should be suppressed by medication and pain relief should be given.

2. Surgery

During surgical resection, pressure can be applied to the abdomen to make the protruding mass more obvious and facilitate the operation. The site can be located by puncturing with a thick needle, and a small incision can be made with an electric knife to aspirate the accumulated blood. The hymen incision is usually X-shaped, but some experts also make circular or oval incisions. Make an X-shaped incision all the way to the vaginal wall. If the diaphragm is thin, excess tissue of the diaphragm can be removed in a circular manner.

The two layers of mucosa and base of the incision are slightly freed and sutured longitudinally so that the suture edges are serrated and not in the same plane to prevent annular stenosis in the future. If the diaphragm is thick, an X-shaped incision should be made on the outer mucosal surface first, with a depth of 1/2 of the thickness of the diaphragm, to separate the mucosal flaps, and then the inner layer should be cut in a cross shape. The four pairs of inner and outer mucosal flaps should be interlaced and sutured to prevent re-stenosis due to contracture after healing. If pregnancy and delivery occur later, it often cannot proceed smoothly and a cesarean section is required to end the delivery.

If symptoms are discovered after menstruation, emergency surgery should be performed to drain the menstrual blood. Treatment should not be delayed too long to avoid intrauterine blood accumulation or even hematofallopian blood accumulation. Bimanual examination is not performed during the operation to avoid increasing the chance of infection and causing backflow of menstrual blood or rupture of fallopian tube hematoma.