Hymenal Stenosis

Published on 06/06/2015 by admin

Filed under Obstetrics & Gynecology

Last modified 22/04/2025

Print this page

This article have been viewed 5714 times

Chapter 73 Hymenal Stenosis

INTRODUCTION

Description: Hymenal stenosis is thickening or narrowing of the hymenal opening resulting in difficulty in tampon use and intercourse.

Prevalence: Uncommon.

Predominant Age: Congenital, although generally diagnosed in the early reproductive years.

Genetics: No genetic pattern.

ETIOLOGY AND PATHOGENESIS

Causes: Congenital narrowing of the hymen or scarring after trauma or surgery (e.g., previous excision, trauma).

Risk Factors: Introital surgery (for iatrogenic cases).

CLINICAL CHARACTERISTICS

Signs and Symptoms

• Insertional dyspareunia

• Difficulty with tampon use

• Narrowing of the vaginal introitus

FOLLOW-UP

Patient Monitoring: Normal health maintenance.

Prevention/Avoidance: None.

Possible Complications: Sexual dysfunction.

Expected Outcome: Generally good, but secondary problems (such as sexual dysfunction) often may persist.

MISCELLANEOUS

Pregnancy Considerations: No effect on pregnancy once achieved. Generally no effect on the route of delivery. Delivery (with or without an episiotomy) often results in improvement or resolution of symptoms.

ICD-9-CM Codes: 623.3.

Berenson AB, Chacko MR, Wiemann CM, et al. A case-control study of anatomic changes resulting from sexual abuse. Am J Obstet Gynecol. 2000;182:820.

Berenson AB, Grady JJ. A longitudinal study of hymenal development from 3 to 9 years of age. J Pediatr. 2002;140:600.

McCann J, Miyamoto S, Boyle C, Rogers K. Healing of hymenal injuries in prepubertal and adolescent girls: a descriptive study. Pediatrics. 2007;119:e1094. Epub 2007 Apr 9.

Posner JC, Spandorfer PR. Early detection of imperforate hymen prevents morbidity from delays in diagnosis. Pediatrics. 2005;115:1008.

Smith RP. Gynecology in primary care. Baltimore: Williams & Wilkins, 1997;517.

Related

Netters Obstetrics and Gynecology