What is hymenoplasty?
Hymenoplasty, also known as hymenorrhaphy, is the beautifying repair, restoration, or building of a woman’s hymen. Hymen restoration is also known as revirginization. To explain hymenoplasty surgery, a description, along with some information about the hymen, could be beneficial. The hymen consists of human tissue that resembles an oval rubber washer that partially or completely covers the vaginal opening. This ring-shaped membrane can be high and flexible or thick and unbending. It begins to form while the female is still in the womb, usually from the fourth month of pregnancy.
Contrary to what many believe, except in rare cases, the hymen is NOT an impenetrable seal. If this were the case, there would be no portal for normal, healthy menstrual or vaginal discharge to leave the body. Historical romance writers often describe the heroine in their bustier-ripping books as having a Teflon hymen that makes her wince or cry out painfully while in the middle of that first sexual encounter. Her lost virginity is also typically evidenced by vivid blood splatters, like the crime scene, on pristine white sheets. However, in reality, that first break, regardless of the method, does not always draw blood and is not always painful.
Hymenoplasty Photo Like the appendix, a hymen has no real purpose. However, throughout history, this bland sheath of fur has traditionally, and very wrongly, served as undeniable and positive proof of a woman’s purity and innocence. Even to this day, in many cultures, an intact hymen still indicates virginity, especially if blood is present at the first penetration of the penis.
Clinically speaking, however, a torn or damaged hymen is not an irrefutable confirmation of the loss of virginity by sexual tissue. Depending on its stiffness, hymen perforation can be caused by normal daily activities such as strenuous athletics, horseback riding or cycling, a simple gynaecological exam with a speculum or gloved finger insertion, or masturbation. Even putting a tampon in the vagina can break it. In some cases, the hymen may not be present at all, as about 1 in 1,000 women are born without one.
About the hymenoplasty procedure
The hymen is a membrane that partly covers the vaginal inaugural. The shape and appearance of the hymen will vary between women, but it is generally crescent-shaped at the bottom of the vaginal opening. A hymen can break or tear at different times during a woman’s life, be it from the insertion of a tampon, exercise, or sexual intercourse. Mild bleeding is commonly associated with a ruptured hymen. In some cultures and religions, a complete hymn is related to a woman’s virginity. A hymenoplasty sometimes called a hymenorrhaphy or hymen-building surgery is usually performed for cultural or religious reasons before marriage. Others seek surgery as a form of therapy after a sexual assault. Regardless of the reason, the hymen is restored, the surgery can be completed in less than an hour under local anaesthesia with immediately visible results.
During the surgery, the patient will only require local anaesthesia, but a sedative may be administered for comfort throughout the procedure. The patient will lie comfortably on a table with the pegs apart. The hymen will be identified and partially removed to remove the uneven tissue from the previous tear. The hymen will be sutured in two layers with dissolving stitches. For some women, a small piece of tissue from another part of the vagina may need to be grafted into the vaginal opening to recreate the hymen.
The goal of a hymenoplasty is to reestablish the appearance of the hymen.
What does hymen repair involve?
Hymen repair is a simple operation that involves excising the ragged edges before stitching them together with thin, soluble sutures. It is often done under local anaesthesia with sedation, but it can also be done under general anaesthesia.
This surgery is not particularly invasive. The hymen actually has a secondary layer that will be seeded to cover the torn skin. As it is grafted once more, the hymen will appear intact. Or if for some reason this is not possible, a new hymen can be created from the lip of the vagina.
Are there any risks associated with hymen repair?
Hymenoplasty is a comparatively safe procedure that inclines to carry few risks and side effects. However, any operation carries a small risk of infection and prolonged bleeding, as well as those associated with anaesthesia.
Any complication of hymen repair is very rare. Occasionally, a problem of “stenosis” or excessive correction of the hymen arises. This is where the opening narrows, which means the next act of sex will be difficult. However, this only rarely causes long-term problems.
Why choose the gynae centre for hymen repair?
At The Gynae Center, our standards of care and safety are first class. All of our patients have access to the same state of the art environment and state of the art methods. Your consultant is a recognized leader in the field of gynaecology and has been performing hymen repair for many years. Having worked in a leadership role at a teaching hospital in Bahrain for a long time, Doctor has a particular sensitivity around some of the cultural and religious issues that this procedure may involve. It operates with the strictest ethics so you can trust that you or your loved one are in the safest hands. Dr. has been an expert in this most sensitive area of the body and its functions for decades.
Risks and Complications of hymenoplasty
1) Postoperative pain after hymenoplasty
Pain in or around the surgical wound can be felt as soon as the anaesthesia wears off, relieved by prescription pain relievers (in the first 2-3 days). You need to rest to control symptoms and you should refrain from working because it can cause bruising and severe pain. If you experience more intumescence and pain, feel free to come to see the doctor.
Occasionally, you may experience itching, irritation, or tension around the surgical wound, which will heal completely in 4-6 weeks.
2) Abnormal bleeding after hymenoplasty
- Due to the use of a small dissolving suture, this can lead to the risk of postoperative complications such as bleeding from the surgical wound, possibly caused by walking or other activities.
- After surgery, abnormal bleeding that can lead to blood clots is very rare and occurs in less than 1% of surgeries. Aspirin and other blood-thinning medications should be avoided for at least 10-15 days before and after the scheduled surgery.
- If excessive bleeding from the surgical wound occurs after surgery, you will no longer be charged for all costs for services and treatment of this post-surgical complication. However, if bleeding or other complications occur due to your failure to comply with the doctor’s orders, you will be charged accordingly.
3) Abnormal vaginal discharge after hymenoplasty
- For hymenoplasty with miniperineoplasty, you can expect a yellowish-green discharge after surgery, because the vagina is full of secretions of fluid and various types of bacteria. This can cause a reaction to the surgical wound and stitches. Complete absorption of the sutures will normally occur within 6 to 8 weeks. The yellowish-green discharge may also persist during this time.
- After surgery, you may have an abnormal vaginal discharge or curd-like discharge as a result of vaginal yeast infection, possibly after taking antibiotics to prevent postoperative infection, and may require oral or suppository antifungal medication.
4) Inflammation or infection after hymenoplasty.
- After surgery, inflammation or infection of the wound can occur because the surgical wound is in the area of the vaginal opening and is constantly prone to contamination with fluid from the vaginal tract, urinary tract, and alimentary (faecal) tract.
- Inflammation or infection after surgery can happen to any woman who does not follow instructions, who follows them incorrectly, or who has existing diseases such as diabetes, or who has a vaginal infection before surgery.
- Inflammation or infection after surgery can cause complications such as wound deformation, suture mark (scar), or wound breakage that causes abnormal bleeding from the surgical wound.
5) Unsatisfactory results after hymenoplasty
- This surgery can result in incomplete hymen ring restoration depending on the anterior structure of the woman’s hymen. Since the hymen tissues are very thin, it is sometimes not possible to fully fix the hymen ring, so the surgery requires Perineoplasty for a more satisfactory hymenoplasty result. Perineoplasty helps decrease wound tension on the thin hymen.
- This surgery has limits and cannot absolutely guarantee results and satisfaction, because there are many other factors that affect surgical outcome and satisfaction. In case of unsatisfactory results, corrective surgery may be performed as appropriate and possible. In this sense, you and the doctor should discuss the solution together.
- If the injury from the alteration surgery is caused by the complication of the surgery, you will no lengthier be charged for all the costs of services and treatment. Though, if unsatisfactory results occur due to the complication of your failure to comply with the treatment centre orders, you will be charged accordingly.
Hymen repair surgery
The hymen is a thin layer of tissue that encloses the vaginal area. The hymen can easily rupture in many situations outside of intercourse, including vigorous activities such as horseback riding or gymnastics, insertion of tampons, or even during regular Pap tests. Many women may not even be aware that their hymen has been torn as there may be little or no blood loss and no pain.
Hymen repair surgery, also known as hymenoplasty, is a humble procedure that will repair a torn hymen or shape a hymen that is not present. It is important to understand that surgery will not restore virginity, but will allow women to tear and bleed the first time they have sex after surgery.
Preparation for hymen repair
Many women find it difficult to talk about the nature of this surgery. At the Plastic Surgery Clinic, we are aware of the subtle nature of your concerns. That is why we behave all of our hymen repair patients with kindness, consideration, and dignity. Before deciding to have surgery, think carefully about your expectations and deliberate them with your plastic surgery provider.
We are also happy to ensure that a nurse is present for you during your consultation if you wish. You will receive complete instructions on how to prepare for your surgery and you will need a gynaecological exam.
Recovery after hymen repair
After your plastic surgery procedure, you will need to gently wash the area with soap and water regularly. There will be slight swelling and bruising for 2 to 4 weeks, but the pain should be minimal and should go away within a week after surgery. You will receive a prescription for pain relievers and antibiotics to help with pain and prevent infection.
You should refrain from any vaginal insertions until your wedding night, including tampons. This will allow the incisions to heal completely and will prevent the new hymen from breaking. You should also avoid heavy lifting and any strenuous activity as this can negatively affect your healing. The sutures will dissolve and come out on their own.
You should be able to return to work the day after your hymen repair. You should be able to resume a light exercise routine one week after surgery. Avoid heavy excitement or a strenuous exercise predictable for 4-6 weeks.