What is hymen?

The hymen is a thin, delicate membrane. That partially covers the opening (introitus) of the vagina in most girls. It is a remnant from the development as a fetus, of the membranes of the vagina and urogenital sinus at their point of fusion. In younger women, the hymen is very vascular. In menopausal women it has become very thin. In adult virginal women, the hymen surrounds the vaginal opening more or less completely.

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Function of the hymen

The biological function of the human hymen is still uncertain. Scientists hypothesize that it protects the vagina from infection during the infancy stage. It has to be incomplete, in order to allow the outflow of menstrual blood at the onset of puberty. The social function of the hymen, however, has been and still is a mythical symbol of virginity in many cultures.

Rupture of the hymen

Rupture of the hymen normally occurs during the first sexual experience. Alhtough ther are some instances wherein the hymen is torn because of strenuous activities such bicycling, horseback riding and gymnastics. Inserting tampons can also rupture a hymen early. During sports like bicycling, horseback riding, gymnastics etc. Inserting tampons. A girl may not even be aware that a hymen tear has occurred, since there is no to minimal bleeding and pain when this happens. The Hymen usually tears posteriorly or posterolaterally into two or more portions. Commonly, rupture of the hymen is accompanied by slight bleeding, which stops spontaneously. Occasionally, a larger vessel can bleed profusely, possibly even leading to shock and requiring a blood transfusion. Even in severe cases, bleeding can usually be controlled by applying direct pressure to the bleeding point. Only very rarely surgical assistance is required. In case of a wide or elastic hymen, the hymen may not be lacerated even with repeated coitus, particularly in case of a thin penis. In fact, many cases of pregnancy have been reported in women in whom the hymen has not been ruptured. Some women are born without even a trace of a hymen.

Different surgeries involving the hymen

Simple repair Restoring the hymen consists of piecing together the remnants by closing the tear. It is a very simple procedure that must be done three to seven days before the wedding. The tissue is simply pulled together. The result is not meant to last. In this type of surgery, definite healing is rare because the hymen is relatively avascular. Alloplant A Tear-through biomaterial can be inserted. This is also a temporary measure, carried out shortly before marriage in certain cultures. Hymen reconstruction When the hymenal remnants are insufficient and definitive repair is envisaged by approximating the undermined hymen remnants or a vaginal flap. This produces vascular bands across the introitus. The procedure can be done under local anesthetic and as a day case surgery. The process takes one to two hours, and patients can return to work the next day. The sutures are dissolvable.

Hymenoplasty

This surgery involves the reconstruction of the hymen. Cultural, religious, or social reasons predominate when this surgery is contemplated. Hymenoplasty is performed to make the patient appear virginal. It works for women who have not had vaginal deliveries, and preferably, in those who have never been pregnant. We make extremely precise incisions into the vagina and remnants of the hymeneal ring to bring them into close approximation to allow delicate sutures to hold the tissues in place. Once healed, the act of sexual intercourse can result in bleeding when the hymen is torn or stretched. For ethnic, cultural, religious, as well as personal reasons, many women resort to cosmetic surgery to restore their so-called virginity. Hymenoplasty is the procedure that addresses this problem. This surgical procedure can restore the anatomy of a womans hymen restore it to its original physical state, but it doesnt make one a virgin again. Hymenoplasty is designed primarily to improve ones boring sex life, or if you are a woman who is about to get married, you can have this done as a surprise or gift to your future husband for your wedding night.

Who is a candidate for hymenoplasty?

Hymenoplasties are most often performed for religious, societal or cultural regions. In some cultures, women can actually find their lives in danger if they are found not to have an intact hymen on their wedding night, regardless of how the hymen was initially ruptured. For these women, a hymenoplasty is more than a simple cosmetic procedure. However If you have venereal disease, you may not qualify as a candidate for hymenoplasty. If you are currently undergoing treatment for any type of genital cancer, you may be excluded from candidacy.

Where is Hymenoplasty Performed?

Hymenoplasty is often an outpatient procedure that takes only an hour or two under local anesthetic with or without sedation; it can be performed in the surgeon’s own office if he or she has a state-accredited facility.

Most Common Uses of Hymenoplasty

Marriage If you are getting married and belong to a conservative social background, which holds a belief that a womans virginity must only belong to her husband, then you may choose a Hymenoplasty to repair the hymen. Sexual Assault A hymenoplasty can repair the hymen if ruptured due to rape or sexual abuse. This is a way to restore your virginity and help the healing process, as you feel like you are getting something back which was forcefully taken away from you. Sexual Satisfaction Another reason you may choose a Hymenoplasty is if your sex life has become dull, and neither you nor your partner are enjoying it as you once did. Since this procedure repairs the hymen and tightens the vaginal walls, the pleasure during intercourse for both the partners will be heightened. Aging With age, the vaginal walls become elongated and the muscles get loose, which is hard for most women to accept. If your aging body is interfering with your self confidence, you may want to consider this procedure.

Advantages of Hymenoplasty

A woman who seeks out a hymenoplasty does so in order to tighten up her hymen. This small skin membrane may have been torn during intercourse or another strenuous activity, causing pain and bleeding. When the hymen is restored, the patient will be able to feel more fullness during intercourse and they will be able to have a higher possibility of orgasm during sexual activities. This procedure can also help those who have religious, ethnic or cultural reasons for having the hymenoplasty. The procedure time is short as is the recovery time for more patients who get the hymenoplasty procedure.

Disadvantages of Hymenoplasty

For some women, the hymenoplasty procedure may create discomfort for future sexual activities. As a result, they might end up breaking the hymen once more, reversing the procedure’s effects. Some women find that they do not receive as much pleasure during intercourse as a result of a hymenoplasty, as certain sensations are changed or dulled. Some insurance plans will not cover a hymenoplasty without a qualifying medical reason.

Lifestyle & Maintenance after Hymenoplasty

Once the Hymenoplasty procedure has been done, it is very important to take care of yourself and make some temporary and permanent changes in your lifestyle. The maintenance of the hymen is important after the surgery, as the wound takes time to heal. Some of the things that a woman who has undergone hymenoplasty must keep in mind are: It takes at least 4 to 6 weeks to have full recovery. You need to make sure to keep the vagina extremely clean to help avoid any kind of dirt particles from settling in the stitch wounds. Do not resume sexual activity until the soreness and discharge has settled, as it will increase the soreness and pain. Avoid lifting heavy objects and housekeeping work for at least a week, as this will bring pressure on the entire vaginal area. Any kind of pressure soon after your Hymenoplasty procedure can harm the hymen again, which will cause the pain to come back and the entire process will need to be redone. Try to relax and stay calm for the first few weeks after surgery. Keep your mind off of the everyday stress and tension you may be going through. Try to do relaxing activities such as reading a book or watching television. Avoid heavy and strenuous work during your recovery. Rest is the best way to heal the wounds, so the more you can rest, the faster you will recover and be able to resume your daily activities. Eat a well maintained diet to give your body the energy and nutrients it needs to recover. If all goes well with no complications, the first time you engage in sexual intercourse after the Hymenoplasty, you will bleed and experience some discomfort, and this is expected. Each woman may have different reasons for wanting to undergo this procedure, and it is important to discuss all of your options with your surgeon. Make sure you are clear on what to expect during the procedure, any possible side effects and how you should take care of yourself after the surgery. Always follow your surgeon’s instructions.

Potential Side Effects

It is rare to see any severe side effects of Hymenoplasty, but you may experience any of the following: You may experience sudden and intermittent bleeding after the surgery. You may run a fever, which is an indication that you may have some sort of infection. If you witness any change in the normal color of the skin around vagina, such as yellow or green, you should consult your surgeon immediately as this can be concerning. If you feel an increase in pain, numbness or a tingling sensation around the vagina, then it is an indication of nerve injury. If you experience any swelling in the vaginal area, you should immediately consult your surgeon and this can be a serious complication. Swelling is an indication of skin necrosis that can lead to major complications. The sooner this condition gets attention and treated, the better.

FREQUENTLY ASKED QUESTIONS

A: A personal consultation is very important. The doctors can answer this question upon evaluation of the patient. There are many things to consider like physical and emotional stress, psychiatric conditions and medical illness. The best candidate should be in a good physical and mental health, not going through major life stress, can understand the risks involved, willing to follow the pre- and post- operative instructions and lastly motivated by the desire of looking better.

Q: Where will this procedure be done?

Minor cosmetic surgery procedures can be done in hospitals, clinics, and in out patient surgical centers like this one.

Q:What should I expect before my surgery?

A: Doctors advice patients to stop taking aspirin, vitamin E, anti- depressant drugs and diet pills for 1 to 2 weeks before the surgery as they can increase bleeding. Smoking should also be stopped two weeks before surgery because this can affect healing. For faster healing, excellent nutrition, adequate rest and intake of vitamin C is highly recommended. But before all these, past and present medical history and physical exams should be completed to undergo the procedure.

Q: What kind of anesthesia will be used for my surgery?

A: Type of anesthesia would depend on you and your doctors preferences. It may be done using Local or General Anesthesia.

Q: When will the bandages and the stitches be removed?

A: Bandages placed at the surgery area will be removed 3 days after, while the stitches will be removed 5 to 10 days after surgery. There are times in which the doctor uses dissolvable sutures that would be absorbed by the body in a few weeks. Returning to have the stitches removed would no longer be needed.

Q: How long is the recovery time after my surgery?

A: Recovery period depends primarily on the procedure, and how quickly you heal. The patient will have to be monitored for a few hours immediately after the procedure until she is allowed to go home. Most of the patients are able to resume light activity within 3 to 5 days, and moderate activity after 7 to 10 days. Applying ice packs and warm compress can help reduce swelling and bruising.

Q: How long will the enhancement last?

A: Medical and technological breakthroughs have made aesthetic improvements more lasting as well as safer and faster. And with proper care, your surgery can truly be an investment to last a lifetime.

What are the risks and complications of the surgical procedure?

A: Like in any other surgical operation, there may be bleeding, infection, scarring, delayed healing, changes in skin sensation and pain. However, the medical team always take all necessary measures to avoid and minimize these risks.

Q: What is included in the cost of operation?

A: Cost of minor operations will depend upon consultation and package of treatment the patient chooses. Its still best to consult for better assessment of the concerned area.