Academic literature on the topic 'Microperforate Hymen'

Abstract: Female genital tract anomalies have important effects on reproductive function, and usually recognized after puberty. The membrane canalization process end to various hymenal forms. Microperforate hymen appears as a partial obstruction depending on its size. Most often, patient will present with menstrual disorders, dyspareunia, and infertility. The aim of this research was to report a case of spontaneous pregnancy in postoperative microperforated hymen in form of case report. A 27-year-old woman, P0A0, complained of pain during intercouse. Patient had been married for 1,5 years, had reguler menstrual cycles without any contraceptive method, but not conceived yet. Inspection showed an obstructed vaginal introitus with a small opening laterally at 3 o’clock, consistent witn microperforate hymen. During surgery, short vaginal introitus was observed and no vaginal canal was seen. A sound was inserted through a small opening of 1 mm in diameter laterally at 3 o'clock, followed by sufficient incision and excision of the distal vaginal tissue. Interrupted suture of the proximal and distal mucosa was performed. The vaginal portion as well as uterus appeared normal. Postoperative tissue healing was good. A spontaneous pregnancy occurred 56 days after the surgery and a healthy term baby was born by caesarean section. In the case of microperforated hymen, menstrual flow can be normal. The patient complained of dyspareunia or impaired sexual penetration leading to infertility, although the presence of a small opening may allow passage of sperm and spontaneous pregnancy may occur before the surgery. Surgery can reduce psychological stress and improve reproductive function, allowing pregnancy to occur. Keywords:Abstract: Female genital tract anomalies have important effects on reproductive function, and usually recognized after puberty. The membrane canalization process end to various hymenal forms. Microperforate hymen appears as a partial obstruction depending on its size. Most often, patient will present with menstrual disorders, dyspareunia, and infertility. The aim of this research was to report a case of spontaneous pregnancy in postoperative microperforated hymen in form of case report. A 27-year-old woman, P0A0, complained of pain during intercouse. Patient had been married for 1,5 years, had reguler menstrual cycles without any contraceptive method, but not conceived yet. Inspection showed an obstructed vaginal introitus with a small opening laterally at 3 o’clock, consistent witn microperforate hymen. During surgery, short vaginal introitus was observed and no vaginal canal was seen. A sound was inserted through a small opening of 1 mm in diameter laterally at 3 o'clock, followed by sufficient incision and excision of the distal vaginal tissue. Interrupted suture of the proximal and distal mucosa was performed. The vaginal portion as well as uterus appeared normal. Postoperative tissue healing was good. A spontaneous pregnancy occurred 56 days after the surgery and a healthy term baby was born by caesarean section. In the case of microperforated hymen, menstrual flow can be normal. The patient complained of dyspareunia or impaired sexual penetration leading to infertility, although the presence of a small opening may allow passage of sperm and spontaneous pregnancy may occur before the surgery. Surgery can reduce psychological stress and improve reproductive function, allowing pregnancy to occur. Keywords: hymen, microperforate, infertility, spontaneous pregnancy

ABSTRACT A rare case of 26-year-old women with microperforate hymen reported a difficulty in intercourse. Hymenectomy is the surgical treatment for imperforate hymen and microperforate hymen. A knife or electrocautery can be used to excise hymenal tissue. How to cite this article Kumar V, Kumar KV, Krishnamurthy KH, Kumar R. A Rare Case Report of Microperforate Hymen with Difficulty in Penetration. J South Asian Feder Menopause Soc 2014;2(2):97-98.

<strong>Introduction:</strong>&nbsp;Imperforate hymen (IH) is a rare obstructive congenital anomaly of the female genital tract. It arises as a result of complete failure of canalisation of inferior end of the vaginal plate at the junction between the urogenital sinus and the vagina during foetal life. Patients are usually asymptomatic until onset of menarche after which menstrual blood begins to accumulate in the vagina leading to a spectrum of symptoms described later in the text. Microperforate hymen (MH) is a type of obstructive hymenal membrane, in which there is a tiny opening in hymen, which can lower the quality of life of the young women by interfering with vaginal intercourse and menstrual hygiene. Presentation in MH patients depends largely on hole size.&nbsp;<strong>Case Reports:</strong>&nbsp;We are reporting here cases of three adolescent girls who presented to Rajindra Hospital Patiala (RHP). Two of these were diagnosed with imperforate hymen and one with microperforate hymen.&nbsp;<strong>Discussion:</strong>&nbsp;A detailed gynecological history and examination play a key role in predicting these conditions. These conditions can be treated surgically by performing hymenotomy.&nbsp;<strong>Conclusion:</strong>&nbsp;Early diagnosis and management of imperforate and microperforate hymen helps in relieving the symptoms and preventing potential complications. Both of these two conditions can be managed surgically with very good outcome. &nbsp; &nbsp;

Genital tract abnormalities are uncommon, occurring in approximately 7% of female population. Among these cases, hymenal abnormalities are the most frequent, with imperforate hymen occurring in 1 in 2000 girls. Imperforate and microperforate hymen is a congenital disorder of hymenal configuration which does not permit normal menstrual flow. We report a case of 26 year old primigravida at 28 weeks gestation with threatened preterm labor and was incidentally found to have fused labia minor and microperforate hymen. Scope examination through the hymen revealed a normal looking vagina and cervix. Urethral meatus was not made out. She was taken up for elective caesarean section at 37 weeks of gestation with hymenectomy. Intraoperatively, urethral orifice was identified after incising the fused labia minora. A uterine angle fibroid was found, myomectomy done. No uterine anomalies were noted.

Micro perforate hymen is an uncommon congenital defect in which the hymen has a microscopic pinpoint aperture. It is a different entity from imperforate hymen, but it might present with more or less similar complaints. Here we are discussing about a unique case of pinpoint hymenal opening or microperforate hymen where the patient presented to us with primary infertility. Most cases of micro perforate hymen present in the paediatric age group with recurrent urinary tract infections and recurrent vulvovaginitis. Rare cases in a review of literature noted that a patient was seen to present with urethral dilatation during coital activity. In this case report, we present a patient who came with primary infertility who has never been examined in the past. She had regular menstrual cycles but scanty flow with the main complaint of dyspareunia. After examination, she was found to have microperforate hymen and suspected transverse vaginal septum defect. Hence, routine investigations were done, and we proceeded with hymenectomy. This example demonstrates the importance of a thorough genital examination and the inclusion of hymenal abnormalities in the differential diagnosis of women with recurrent dysuria, vaginitis, primary infertility, and oligomenorrhoea, so that early intervention can be done to improve the woman's quality of life and reduce pregnancy difficulties.