Abstract
Inroduction Female genital tract anomalies may have a devastating impact on the potential for sexual activity and fertility. Microperforate (pinhole) hymen is one of them. Microperforate hymen can lead to infertility, primary amenorrhea, acute or chronic pelvic pain, abnormal vaginal bleeding, dysuria, pollakiuria or a foul-smelling vaginal discharge. Aim We aim to report a patient who had intercourse problems and infertility complaints later found to have a microper-forate hymen. Discussion Pinhole opening of hymen may permit passage of fluids. Consequently spontaneous pregnancy can occur rarely. A few reports showed pregnancies with intact hymen without penetration of penis. But in general patients have fertility problems. Conclusion The results of the surgery are similar in all techniques and the particular surgical centre will have its own preference of which technique it prefers since after diagnosis definitive treatment is surgical and effective. Failure to manage these patients correctly may have long-term sequelae for their psychological, sexual and reproductive health.
Highlights
Female genital tract anomalies may have a devastating impact on the potential for sexual activity and fertility
Aim: We aim to report a patient who had intercourse problems and infertility complaints later found to have a microperforate hymen
The results of the surgery are similar in all techniques and the particular surgical centre will have its own preference of which technique it prefers since after diagnosis definitive treatment is surgical and effective
Summary
Female genital tract anomalies may have a devastating impact on the potential for sexual activity and fertility. Conclusion: The results of the surgery are similar in all techniques and the particular surgical centre will have its own preference of which technique it prefers since after diagnosis definitive treatment is surgical and effective Failure to manage these patients correctly may have long-term sequelae for their psychological, sexual and reproductive health. Hymenal anomalies are derived from incomplete degeneration of the central portion of the hymen These anatomic variants include imperforate, pinhole (microperforate), septate, and cribriform. Pinhole hymen is a congenital obstructive vaginal membrane with a minimal opening and incomplete obstructive pathology usually permitting normal menstrual flow. This is a rare form and frequently mistaken for an imperforate hymen.
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