Repair of Microperforate Hymen

J Pediatr Adolesc Gynecol. 2025 Jan 4:S1083-3188(24)00363-2. doi: 10.1016/j.jpag.2024.12.016. Online ahead of print.

Abstract

Objective: Subocclusive variants of the hymen are a group of hymenal anomalies that result due to a failure of canalization of the urogenital sinus. One of these variations is the microperforate hymen, for which accurate incidence is unknown. Microperforate hymen is a non-obstructing variation that allows for menstrual egress and often patients present due to inability to use a tampon. The recommended intervention for this congenital variant is surgical correction. The purpose of this case report is to provide video demonstration of a surgical technique for correction of hymenal anatomy.

Case report: We present a case of an 18-year-old female-identifying nulligravid who presented with inability to use a tampon secondary z to a microperforate hymen.

Results: This case reviews the diagnostic work up well as video demonstration of surgical technique for hymenal correction.

Keywords: Microperforate hymen; adolescent; hymenal variation; hymenectomy.

Publication types

  • Case Reports