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Journal articles on the topic 'Microperforate Hymen'

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Published: 5 June 2025
Last updated: 16 July 2025

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1

Budinurdjaja, Pribakti, Ihya Ridlo Nizomy, and Inas Tsurayya Fauziah Lahdimawan. "Spontaneous Pregnancy in Postoperative Microperforated Hymen: A Case Report." Berkala Kedokteran 17, no. 1 (2021): 79. http://dx.doi.org/10.20527/jbk.v17i1.10270.

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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
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2

Kumar, Vijay, Kusuma Vijay Kumar, and KH Krishnamurthy. "A Rare Case Report of Microperforate Hymen with Difficulty in Penetration." Journal of SAFOMS 2, no. 2 (2014): 97–98. http://dx.doi.org/10.5005/jp-journals-10032-1052.

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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.
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3

Narula, Aarti, Arshdeep Kaur, Satinder Pal Kaur, et al. "Imperforate & Microperforate Hymen: A Case Series of Diagnosis and Management of Three Adolescents." International Journal of Pharmaceutical and Clinical Research 16, no. 2 (2024): 223–28. https://doi.org/10.5281/zenodo.11064905.

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<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;
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4

Sreenivas, Anju, Nina V. Kate, M. Subhashini, Valsa Diana, and P. Sujatha. "Microperforate hymen and labial fusion: an unusual case." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 11, no. 5 (2022): 1585. http://dx.doi.org/10.18203/2320-1770.ijrcog20221300.

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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.
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5

Pavithra Baskaran and Nidhi Sharma. "A Case Report of Microperforate hymen presented with primary infertility." International Journal of Research in Pharmaceutical Sciences 12, no. 4 (2021): 2519–22. http://dx.doi.org/10.26452/ijrps.v12i4.4897.

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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.
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6

Sanfilippo, Andrea M., and Suketu M. Mansuria. "Microperforate Hymen Resulting in Pelvic Abscess." Journal of Pediatric and Adolescent Gynecology 19, no. 2 (2006): 95–98. http://dx.doi.org/10.1016/j.jpag.2006.01.006.

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7

Roth, Lauren, Anne Smith, Elisabeth Stark, and Alla Vash-Margita. "2. Repair of a Microperforate Hymen." Journal of Pediatric and Adolescent Gynecology 36, no. 2 (2023): 231. http://dx.doi.org/10.1016/j.jpag.2023.01.057.

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8

Ayyash, Mariam, Madison Miller, and Miriana Hijaz. "Evaluation of a microperforate hymen leading to the incidental diagnosis of a borderline ovarian tumour." BMJ Case Reports 15, no. 11 (2022): e252017. http://dx.doi.org/10.1136/bcr-2022-252017.

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Microperforate hymens are rare anatomical variants with an unknown incidence and very few reported cases. Borderline ovarian tumours are similarly uncommon, with an incidence of approximately 0.002%–0.006%. The concurrent presence of a microperforate hymen and a borderline ovarian tumour is therefore exceedingly unique with no documented cases to date. In this report, we review the case of a nulliparous woman in her late 20s who initially presented with an inability to have penetrative intercourse. A subocclusive hymenal variant was noted on examination and further imaging work-up resulted in the incidental discovery of a large ovarian mass subsequently noted to be a borderline ovarian tumour. Herein, we review contemporary approaches to the diagnosis and management of both hymenal variants and borderline ovarian tumours, and discuss fertility-sparing strategies for young women diagnosed with ovarian neoplasms.
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9

Bulusu, Ratna, Swati A. Reddy, and Vijaya Lakshmi. "Microperforated hymen with pregnancy presenting at term: an accidental diagnosis." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 12 (2023): 3699–701. http://dx.doi.org/10.18203/2320-1770.ijrcog20233662.

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Anatomic variations of the patent hymen exist, the most common configuration having a central orifice. Difficulty in inserting a tampon or the inability to achieve vaginal intercourse in an adolescent is the typical presenting symptom of incomplete hymenal obstruction. Here, a case is reported wherein the patient presented with normal pregnancy at term with an apparently intact hymen. Later in labour, a microperforate hymen (MH) was noted. An emergency lower segment caesarean section along with hymenectomy was performed.
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10

Jindal, Aditi, and Rama Thakur. "Microperforate hymen with infertility: rare case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 3 (2018): 1259. http://dx.doi.org/10.18203/2320-1770.ijrcog20180933.

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Female genital tract anomalies are rare but may have a serious impact on the reproductive health. Here we are going to discuss a rare case of pin point hymenal opening. Here the patient presented to us with primary infertility. She presented to a health care centre for the first time therefore she had never been examined. After all the initial investigations a diagnosis of micro perforate hymen was made. She was posted in OT for hymenectomy. She underwent excision of the hymenal tissue and the edges were sutured to the introitus to prevent reclosure of the hymen. She had an uneventful postoperative period. Patient was discharged after complete recovery at 5th post-operative day. She resumed sexual functions 6 weeks after the surgery. These anomalies usually require surgical interventions. Correct surgical intervention is required for a better psychological and reproductive health.
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11

Surya, Raymond, and Ekarini Aryasatiani. "Sleeve Hymen as a Penetrate Problem in a Newly Married Woman: A Rare Case Report." Indonesian Journal of Obstetrics & Gynecology Science 7, no. 3 (2024): 74. http://dx.doi.org/10.24198/obgynia.v7i3.748.

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Introduction: Imperforate hymen (IH), an uncommon congenital anomaly, is a failure to completely canalize the hymen. This report aims to describe a sleeve hymen in a newly married woman and the surgical approach to the patient.Case Illustration: A 24-year-old newly married woman came to the gynecology polyclinic complaining of difficulty in sexual intercourse in the last 6 months. She felt painful and hard penile penetration since the first time of sexual intercourse. Inspection of external genitalia showed there was a hymen covering all vaginal introitus without an erythematous surface. The diagnosis indicated that the patient had a sleeve hymen. The patient underwent a U-shaped incision far away from the urethra as a hymenectomy.Discussion: Most of the IH patients are asymptomatic until menarche. Excess of estrogen status can cause the thickening of the hymen, called the sleeve hymen or “redundant” hymen. Meanwhile, epithelial cells’ failure in the center of the hymen to degenerate or excess cell proliferation may cause a microperforate hymen. There are several choices of treatment for IH, including hymenectomy (cruciate incision or hymen excision), hymen-preserving surgeries (simple vertical incision and annular hymenotomy), carbon dioxide laser, or insertion of a Foley catheter.Conclusion: Good anamnesis and physical examination can lead to the correct diagnosis of sleeve hymen. Hymenectomy is one of the alternative treatments for married women who have less concern about hymen-preserving surgery.Penebalan Himen sebagai Gangguan Penetrasi pada Wanita Baru Menikah: Sebuah Laporan KasusAbstrakPendahuluan: Himen imperforata (HI) merupakan kelainan kongenital yang tidak lazim didefinisikan sebagai kegagalan dalam kanalisasi himen. Laporan ini bertujuan untuk menggambarkan penebalan himen pada wanita yang baru menikah dan pendekatan pembedahan kepada pasien.Ilustrasi Kasus: Seorang wanita baru menikah berusia 24 tahun datang ke poliklinik ginekologi mengeluh gangguan hubungan seksual sejak 6 bulan lalu. Dia merasa sulit untuk penetrasi dan nyeri sejak pertama kali berhubungan seksual. Inspeksi pada genitalia eksterna memperlihatkan terdapat himen yang menutupi seluruh introitus vagina tanpa permukaan eritema. Diagnosis pada pasien ialah penebalan himen. Wanita tersebut dilakukan insisi bentuk U menjauhi uretra sebagai himenektomi. Diskusi: Kebanyakan pasien HI asimptomatik sampai menars. Kelebihan estrogen dapat menyebabkan penebalan himen yang dikenal sebagai himen “tidak berguna”. Sementara itu, kegagalan sel epitel di tengah himen untuk degenerasi atau kelebihan proliferasi sel dapat menyebabkan himen mikroperforata. Beberapa pilihan tatalaksana pada HI, yaitu himenektomi (insisi krusiata atau eksisi himen), pembedahan dengan konservasi himen (insisi vertikal simple dan himenotomi anular), laser CO2, atau insersi kateter Foley.Kesimpulan: Anamnesis dan pemeriksaan fisik yang baik dapat membantu mendiaganosis penebalan himen dengan tepat. Himenektomi merupakan salah satu tatatalaksana alternatif untuk wanita yang sudah menikah.Kata kunci: himen imperforate; himenektomi; microperforate hymen; penebalan himen,
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12

Tan, Gaik-Imm. "Microperforate Hymen Presenting as Tubo-Ovarian Abscess in Adulthood." Journal of Surgical Academia 8, no. 2 (2018): 27–30. http://dx.doi.org/10.17576/jsa.2018.0802.06.

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13

Güven, Davut, Kadir Bakay, and Serkan Kuruoglu. "Microperforate (Pinhole) hymen and infertility; a rare case report." Open Journal of Obstetrics and Gynecology 02, no. 03 (2012): 287–88. http://dx.doi.org/10.4236/ojog.2012.23060.

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14

Tardieu, Stephanie, and Heather Appelbaum. "Pyocolpos and Dysuria as Presenting Symptoms of Microperforate Hymen." Journal of Pediatric and Adolescent Gynecology 30, no. 2 (2017): 306. http://dx.doi.org/10.1016/j.jpag.2017.03.083.

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15

Di Donato, Violante, Natalina Manci, Innocenza Palaia, Filippo Bellati, Giorgia Perniola, and Pierluigi Benedetti Panici. "Urethral Coitus in a Patient with a Microperforate Hymen." Journal of Minimally Invasive Gynecology 15, no. 5 (2008): 642–43. http://dx.doi.org/10.1016/j.jmig.2008.05.002.

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16

Padhi, Maya, Priyadarshini Tripathy, and Asutosh Sahu. "Microperforate hymen presenting with incomplete abortion: A case report." Journal of Obstetrics and Gynaecology Research 43, no. 8 (2017): 1353–55. http://dx.doi.org/10.1111/jog.13347.

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17

Shah, Imtiaz, Kamlesh Manhas, Nandita Mehta, Vipul Gupta, and Manan Shah. "Microperforate Hymen in a Full Term Primigravida in Active Labour." JMS SKIMS 15, no. 2 (2012): 184–85. http://dx.doi.org/10.33883/jms.v15i2.157.

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Remote rural area with limited medical facilities had to under emergency lower caesarean section for acute labour as no vaginal opening was noticed. Patient was referred to tertiary centre for further management. JMS 2012;15(2):184-85
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18

Segal, Thalia R., Wendy B. Fried, Eileen Y. Krim, Deep Parikh, and David L. Rosenfeld. "Treatment of Microperforate Hymen With Serial Dilation: A Novel Approach." Journal of Pediatric and Adolescent Gynecology 28, no. 2 (2015): e21-e22. http://dx.doi.org/10.1016/j.jpag.2014.06.001.

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19

Elborno, Dana, Lopa Pandya, and Julie Chor. "Case Report: Pelvic Actinomyces in an Adolescent with Microperforate Hymen." Journal of Pediatric and Adolescent Gynecology 29, no. 2 (2016): 191. http://dx.doi.org/10.1016/j.jpag.2016.01.079.

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20

Sharma, Sweta, Kusum Dash, Rita Tirkey, and Arunima J. Sanga. "Microperforate Hymen in a Primigravida in Second Trimester with Anomalous Fetus." Journal of Obstetrics and Gynecology of India 69, S1 (2018): 14–16. http://dx.doi.org/10.1007/s13224-018-1136-2.

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21

Tardieu, Stephanie C., and Heather Appelbaum. "Microperforate Hymen and Pyocolpos: A Case Report and Review of the Literature." Journal of Pediatric and Adolescent Gynecology 31, no. 2 (2018): 140–42. http://dx.doi.org/10.1016/j.jpag.2017.08.006.

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22

Underwood, Porshia G., Jessica Bauer, Patricia Huguelet, and Veronica I. Alaniz. "Delayed Diagnosis of Microperforate Hymen Leading to Urethral Dilation Secondary to Coital Activity." Obstetrics & Gynecology 133, no. 3 (2019): 503–5. http://dx.doi.org/10.1097/aog.0000000000003118.

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23

Shukunami, K., M. Kaneshima, T. Kurokawa, M. Kubo, and F. Kotsuji. "Microperforate hymen at 27 years of age diagnosed with withdrawal bleeding and hysterofiberscopy." Archives of Gynecology and Obstetrics 264, no. 1 (2000): 49–50. http://dx.doi.org/10.1007/s004040000072.

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24

Ahluwalia, Sonia, Alena Lovi-Borgmann, and Lissa Yu. "3. Identification and Excision of Longitudinal Vaginal Septum in Pediatric Patient Presenting with Microperforate Hymen." Journal of Pediatric and Adolescent Gynecology 38, no. 2 (2025): 299. https://doi.org/10.1016/j.jpag.2025.01.031.

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Banu, Dr Jesmine, Dr Nighat Sultana, Dr Mostafa Tarique, et al. "Successful Reproductive Outcome Following Challenging Surgical Management of Mullerian Anomalies." Scholars Journal of Applied Medical Sciences 11, no. 2 (2023): 269–74. http://dx.doi.org/10.36347/sjams.2023.v11i02.002.

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Background: Mullerian duct anomalies consist of a set of structural malforma-tions of reproductive organ resulting from abnormal development of the paramesonephric or Müllerian ducts. The prevalence of these anomalies ranges from 0.001 to 10% in the general population and from 8-10% in women with an adverse reproductive history. The aim of this study was to diagnose different type of mullerian anomalies and to evaluate the reproductive outcome that occurs as a result of surgical management of malformation of genital tract. Methods: A prospective observational study of mullarian anomalies and its diagnosis &amp; reproductive outcome was observed by using data from women with congenital anomalies attended in OPD either with complains or incidental diagnosis with HSG,during laparoscopy at tertiary care center. Total 100 women with different types of mullarian anomalies were included in study. Results: Most common utero-vaginal anomaly seen in present study was septate uterus with on basis of clinical examination. Out of 100 patient (35)35% were diagnosed mullerian agenesis. Cervico vaginal agenesis (15)15%, Septate uterus 28(28%), Bicornaute uterus 7(7%), Transverse vaginal septum 5 % ,unicornuate 5%, Didelphi’s with longitudinal vaginal septum 2%, Microperforate Hymen 3(3%). Among all patients 26 patients were pregnant. Among primary amenorrhea 35 patient of mullarian agenesis after progressive non-surgical vaginal dilatation 22 patient had no coital difficulty. 5 patients were need vaginoplasty. Among 15 patients of cervicovaginal agenesis 6 become menstruating, 2 were pregnant, 6 patient failed anastomosis, needed total abdominal hysterectomy 3 patients on oral pill. Among 5 transverse vaginal septum, 5 having regular menestration among 2 become pregnant. Among other mullarian anamolies after challenging surgical management 22 patient become pregnant. Conclusion: Present study shows prevalence of congenital malformation of female reproductive tract is 0.83% at our .....
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Rabinerson, D., B. Kaplan, and A. Dekel. "Pregnancy with a microperforated hymen." International Journal of Gynecology & Obstetrics 80, no. 2 (2003): 171–72. http://dx.doi.org/10.1016/s0020-7292(02)00345-4.

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Nurhari, Mikhail, and Bobby Indra Utama. "Kehamilan dengan Hymen Mikroperforata." Jurnal Kesehatan Andalas 7, no. 4 (2018): 526. http://dx.doi.org/10.25077/jka.v7.i4.p526-529.2018.

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Hymen dengan lubang yang kecil (mikroperforata, lubang jarum) merupakan kondisi dimana terdapat suatu lubang yang kecil pada hymen. Kondisi ini merupakan kelainan kongenital yang jarang dan sering dianggap sebagai hymen imperforata. Kehamilan dengan kondisi ini sangat jarang terjadi, yang berawal dari keluhan dispareunia dan kesulitan penetrasi. Kondisi mikroperforata pda hymen pada kehamilan tidak memungkinkan untuk persalinan spontan. Tujuan studi kasus ini adalah untuk meninjau kasus langka hymen microperforata pada kehamilan di Rumah Sakit Umum Pusat Dr. M. Djamil Padang. Dilaporkan kasus seorang wanita berusia 22 tahun dengan diagnosis G1P0A0L0 gravid aterm + hymen mikroperforata. Dari pemeriksaan genitalia tampak membran homogen yang menutupi lubang vagina dan dicurigai lubang kecil pada hymen memungkinkan untuk perjalanan sperma yang menyebabkan terjadinya kehamilan. Pilihan operasi caesar karena kehamilan telah cukup bulan, dengan kondisi hymen mikroperforata, sehingga tidak mungkin untuk menilai kemajuan persalinan.
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Nurhari, Mikhail, and Bobby Indra Utama. "Kehamilan dengan Hymen Mikroperforata." Jurnal Kesehatan Andalas 7, no. 4 (2018): 526. http://dx.doi.org/10.25077/jka.v7i4.912.

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Hymen dengan lubang yang kecil (mikroperforata, lubang jarum) merupakan kondisi dimana terdapat suatu lubang yang kecil pada hymen. Kondisi ini merupakan kelainan kongenital yang jarang dan sering dianggap sebagai hymen imperforata. Kehamilan dengan kondisi ini sangat jarang terjadi, yang berawal dari keluhan dispareunia dan kesulitan penetrasi. Kondisi mikroperforata pda hymen pada kehamilan tidak memungkinkan untuk persalinan spontan. Tujuan studi kasus ini adalah untuk meninjau kasus langka hymen microperforata pada kehamilan di Rumah Sakit Umum Pusat Dr. M. Djamil Padang. Dilaporkan kasus seorang wanita berusia 22 tahun dengan diagnosis G1P0A0L0 gravid aterm + hymen mikroperforata. Dari pemeriksaan genitalia tampak membran homogen yang menutupi lubang vagina dan dicurigai lubang kecil pada hymen memungkinkan untuk perjalanan sperma yang menyebabkan terjadinya kehamilan. Pilihan operasi caesar karena kehamilan telah cukup bulan, dengan kondisi hymen mikroperforata, sehingga tidak mungkin untuk menilai kemajuan persalinan.
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Ferrarini, Olívia Maria Ferraz, Lívia Oliveira Munhoz, Ricardo Santos Simões, et al. "Microperforated hymen: a case of delayed diagnosis." Autopsy and Case Reports 4, no. 3 (2014): 59–63. http://dx.doi.org/10.4322/acr.2014.030.

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30

Elshani, Brikene, Heroid Arifi, and Armond Daci. "Microperforated Hymen Presenting Spontaneous Pregnancy with Cesarean Delivery and Hymenotomy Surgery: A Case Report." Open Access Macedonian Journal of Medical Sciences 6, no. 3 (2018): 528–30. http://dx.doi.org/10.3889/oamjms.2018.123.

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BACKGROUND: Female genital tract anomalies including imperforate hymen affect sexual life and fertility.CASE PRESENTATION: In the present case, we describe a pregnant woman diagnosed with imperforate hymen which never had penetrative vaginal sex. A 27–year-old married patient with 2 months of amenorrhea presented in a clinic without any other complications. Her history of difficult intercourse and prolonged menstrual flow were reported, and subsequent vaginal examination confirmed the diagnosis of imperforate hymen even though she claims to made pinhole surgery in hymen during puberty. Her urine pregnancy test was positive, and an ultrasound examination revealed 8.3 weeks pregnant. The pregnancy was followed up to 39.5 weeks when she entered in cesarean delivery in urgency. Due to perioperative complications in our study, a concomitant hymenotomy was successfully performed. The patient was discharged with the baby, and vaginal anatomy was restored.CONCLUSIONS: This case study suggests that even though as microperforated hymen surgery in puberty can permit pregnancy and intervention with cesarean section and hymenotomy is a good option to reduce the resulting perioperative complications which indirectly affect the increase of the fertilisation and improvement of later sexual life.
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YAVUZ, Onur, Begüm ERTAN, Mehmet Eyüphan ÖZGÖZEN, Aslı AKDÖNER, and Mehmet GÜNEY. "The Rare Coexistence of Isolated Unilateral Adnexal Agenesis and Microperforated Hymen: A Case Report." Türk Üreme Tıbbı ve Cerrahisi Dergisi 7, no. 2 (2023): 71–74. http://dx.doi.org/10.24074/tjrms.2023-96018.

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32

Roth, Lauren, Anne K. Smith, Elisabeth Stark, and Alla Vash-Margita. "Repair of Microperforate Hymen." Journal of Pediatric and Adolescent Gynecology, January 2025. https://doi.org/10.1016/j.jpag.2024.12.016.

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33

"Microperforate Hymen Presenting as Vaginismus: Management and Literature Review." Journal of Medical Clinical Case Reports, February 24, 2024. http://dx.doi.org/10.47485/2767-5416.1060.

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Microperforate hymen is a rare anomaly which affects the quality of life and sexual activity of young women. We present a surgical technique for the treatment of microperforate hymen. We report a 30-year-old nulliparous lady who presented with vaginismus, intermenstrual bleeding and menorrhagia. Physical examination revealed a pinpoint hymenal membrane opening at 12 o’clock position. The patient underwent hymenectomy and hysteroscopy with dilatation and curettage. Two Foley catheters were used: one was inserted into the urethra, the other into the vagina via the hymenal opening. Bulb of the vaginal catheter was inflated to demarcate hymenal membrane from urethra to prevent urethra injury during the hymenectomy. A cruciate incision was made over hymen membrane. Recovery was unremarkable, and patient was able to have sexual intercourse. This case highlights the importance of performing a thorough genital examination to identify anomalies. Early surgical intervention prevents complications and improve affected women’s quality of life.
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34

Sofi, Khursheed Ahmad, Asloob Ahmad Malik, and Jalal Ud Din Parrah. "Persistent microperforate hymen as a rare maternal cause of dystocia in a ewe." Veterinary Record Case Reports, September 25, 2023. http://dx.doi.org/10.1002/vrc2.737.

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AbstractSuccessful management of obstetrical emergency, such as dystocia, is essential to prevent huge economic loss to sheep farming. Dystocia can lead to mortality of both the dam and the fetus, if timely correct diagnosis and feasible intervention are delayed. The present case describes an uncommon obstetrical emergency, that is, dystocia due to a rare condition of persistent microperforate hymen as a maternal factor for dystocia. A primiparous, crossbred ewe (aged 1.5 years) was presented at our clinic as an obstetrical emergency at full term. After a complete history was taken, a physical (including per vaginum) examination was performed. This allowed a diagnosis of a persistent microperforate hymen. Management included excision of the transverse band followed by assisted delivery. The ewe recovered successfully, and survived along with its lamb, at least until the post‐operative check at 3 weeks.
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35

Ganti, Shruti, Tharaka Senathirajah, Rohini Govindarajan, and Jayashree Srinivasan. "Microperforate Hymen: A Rare Case of Pregnancy and Miscarriage." Cureus, August 22, 2024. http://dx.doi.org/10.7759/cureus.67517.

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36

ramli, roziana, and mohd rahman. "Concurrent Microperforate Hymen and Transverse Vaginal Septum - Case Report and Review of Literature." International Journal of Medical Reviews and Case Reports, 2020, 1. http://dx.doi.org/10.5455/ijmrcr.concurrent-microperforate-hymen-transverse-vaginal-septum.

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