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HYMENOPLASTY

What is the Hymen (Hymen)? - How is Hymen Replantation (Hymenoplasty) Done?

Hymen or hymen (from Hymenaeus, the ancient Greek god of marriage and weddings) is a membranous tissue fold, 2-3 mm thin, located 2-3 cm inside, covering the entrance of the external genital organ in women. This tissue, which can take many different shapes, is generally crescent-shaped at the entrance to the vagina and surrounded by thin capillaries. Although the hymen is thought of as a membrane because of its name, it is not actually a membrane in the real sense. It is not as thin as expected and does not tear easily.

It has no anatomically known function. It is thought that it prevents microorganisms from entering the vagina before the fertile period.

This tissue stretches during the first sexual intercourse and loses its integrity, resulting in a small amount of bleeding. This amount of bleeding may rarely be excessive. Sometimes there may not be any bleeding. 20 out of every 100 women who have intercourse for the first time may not bleed. The absence of bleeding may be due to the fact that the membrane is flexible and has a structure that allows intercourse.

The hymen may lose its integrity and bleed due to cycling, horseback riding, falling from a height, masturbation, and having sexual intercourse through friction.

The structure and shape of the hymen is determined during the embryo period; 1 in every 1000 women is born without a hymen.

Having couples learn about sexuality before their first intercourse will reduce their fears and prejudices about this subject. One of the most important reasons for vaginismus is the fear that the hymen will tear, bleed or hurt.

What is Hymenoplasty?

The process of repairing the hymen that is damaged for any reason using various surgical methods is called hymenoplasty, or hymenoplasty in its medical term. This procedure is performed in order to restore the anatomical integrity of the hymen.

Hymen Shapes

The hymen has many anatomical variations.

Annular Hymen (Round ring) Hymen:

The hymen is circular and has a ring-shaped hole in the middle. If the hole in the middle is too large, it may maintain its integrity despite the passage of the penis and may not bleed. In this case, it is said that “himen is available for intercourse”. The term “flexible membrane” is used among the public.

Crescentric Hymen (Cemilunar) Hymen:

The membrane is half-moon shaped. The membrane is thinner or absent at the top, while it is prominent at the back.

Hymen with Septa (September):

In the middle part of the hymen, there is an intermediate piece of tissue belonging to the membrane that divides the space.

Cribriform Hymen (Multi-perforated, rib-like) Hymen:

There is not a single hole but multiple holes in the middle of the hymen. With this appearance, it almost resembles a “colander”.

Imperforate Hymen (Nonperforate) Hymen:

There is no hole in the middle of the hymen and the entrance to the vagina is completely closed. Girls with this membrane do not experience any menstrual bleeding. Normal bleeding cannot be expelled from the body and accumulates in the vagina behind the hymen. It is a very painful condition and must be opened with a surgical procedure.

Microperforated Hymen (Small hole) Hymen:

The hole in the middle of the membrane is very small. Sometimes it may be necessary to enlarge the hole with surgical intervention.

Multiparous Hymen (Found in those who have given birth):

In women who have given birth normally, the hymen ruptures due to birth and the remaining parts are called “carincle (hymen residue)”.

Additionally, if the hymen develops too thick or inflexible, an intervention by a gynecologist may be required as it will hinder intercourse.

Hymen Examination (Hymen Examination)

If the patient wishes to have this examination voluntarily and to have information about the hymen, the examination is performed. The patient is informed verbally about his condition, but no written or official documentation is given. Official documents can only be obtained from public hospitals in judicial cases with the decision of the prosecutor’s office.

The results of the hymen examination are never shared with anyone other than the patient. If the patient is under 18 years of age, his/her parents are informed.

Why is Hymenoplasty Performed?

Hymen repair can be done for many reasons. For example, in the United States, the concept of virginity is not important, but many women consult a doctor for hymen repair. The reason may be regret, your boyfriend exceeding the limit, being forced by your partner, or regretting what you did. Sometimes girls may request hymen stitching, thinking that their body integrity has been compromised. We also perform hymen repair for women who have to have a vaginal examination due to medical needs, if they wish. A person has the right to make changes to his or her body. Just as a person can have breast, nose and genital aesthetics, they can also have hymen repaired.

How to Stitch the Hymen? What is Hymenoplasty?

Hymen stitching is done in two ways. With the first method, stitches are placed on the hymen. These stitches remain intact for 2-3 days. If intercourse occurs within 2-3 days after hymen stitching, bleeding may occur from the site of these stitches. With this method, there is a high probability of bleeding during sexual intercourse.

If more than 3 days pass after the hymen stitching procedure, there will be no bleeding as the stitches will dissolve. For this reason, it is also called temporary hymen stitching. Temporary hymen stitching is performed with local or general anesthesia. The process takes 15 minutes. The patient continues his normal life on the same day. Temporary hymen stitching is very difficult for another doctor to understand.

In the second method, a new hymen is created between the vaginal entrance and the hymen. This method is also known as the Flap method and permanent hymen stitching. This tissue, created after the permanent hymen transplantation procedure, maintains its strength even after many years. However, to be sure, a doctor’s check-up is required 1 week before the planned sexual intercourse. It can be understood by another gynecologist that permanent hymen has been stitched.

Permanent hymen stitching is usually done under general anesthesia. The process takes 20-30 minutes. The patient can continue his normal life on the same day. Patients coming from out of town can return in the evening of the same day.

While performing permanent hymen stitching under general anesthesia, vaginal tightening, labiaplasty and clitoris aesthetic procedures can also be performed in combination.

Hymenoplasty Prices - Hymenoplasty Prices

Due to the rules of the Ministry of Health, we cannot publish wart burning prices on the website.

 

However, you can get information from our center about the price of hymen examination, temporary hymen planting price, and permanent hymen planting price. Our prices for hymen examination, temporary hymen transplantation and permanent hymen transplantation are not confidential. We provide price information to our patients over the phone if they wish.