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Thick hymen, sealed hymen will cause menstrual blood stasis, easy to cause vaginal infections, fallopian tube infections, even tumor development, affecting women's health and fertility. Hymenectomy is the method of choice to drain menstrual blood and prevent infection.
1. What is a thick hymen, a sealed hymen?
1.1 What is hymen?
Hymen is a diaphragm in a woman's vagina, about 1cm from the vaginal opening. Depending on the location of each person, some people have thin hymens, some people have thick hymens, and some people will not have hymens. Normally, the hymen has holes for menstrual blood to drain out during the menstrual cycle. Some hymen have one large hole while others have many small holes.
1.2 What are the characteristics of thick, sealed hymen?
Sealed hymen - one of the most common abnormalities in the hymen is a condition where the hymen does not have a hole or there is a wall across the vagina that prevents menstrual blood from escaping. Menstrual blood will gradually accumulate in the vagina or uterus, forming a vaginal blood bag. Sometimes the vaginal blood bag has a very large volume, pushing the bladder forward, pushing the uterus upward, and pushing the rectum backward.Symptoms of women with a sealed hymen usually appear in girls when they enter puberty, have shown signs of sex change but have not yet started menstruating. First, the child has abdominal distension, frequent urination, and lower abdominal pain during menstruation due to the accumulation of menstrual blood. Later, the child had more frequent pain, pain in the lower abdomen intermittently, feeling like something wanted to be pushed out and the abdomen was distended in the lower abdomen.
The consequences of a sealed hymen is that the long-term accumulation of excess blood can cause an imbalance in the vaginal environment, leading to complications such as vaginal infection, infection of the fallopian tubes or even the development of a tumor. , which directly affects the health and fertility of women.
When the patient goes to the doctor, based on the symptoms, the doctor will conduct a genital examination and ultrasound to make an accurate diagnosis. Common signs are when examining the vulva, the hymen is bulging due to blood accumulation, the ultrasound image shows a lot of blood-like fluid in the uterine cavity and vagina.
In patients with a sealed hymen causing menstrual blood stasis, the doctor will appoint an incision to open the hymen hole so that the hymen hole is the same size as it is, so that the stagnant blood can drain out and the person normal menstrual period.
2. Overview of thick, sealed hymen extraction procedures
Surgical incision to create a hymen perforation is a procedure to drain menstrual blood, fight pain and prevent infection caused by menstrual blood stasis, making it more convenient for patients to have sex.
2.1 Indications for surgery
Hymenectomy is indicated for the following cases:
Hymen without holes; Menstrual stasis in the vagina and cervix; Menstrual blood stasis in the vagina and uterine cavity; Menstrual blood stasis in the uterus, spreading to both fallopian tubes; Difficulty intercourse because the hymen is not perforated or the hymen has a too small perforation.
2.2 Preparation for surgery
Performer: Specialist in Obstetrics and Gynecology; Means: Vaginal hysterectomy kit; Patient: Must be eligible to perform surgery and have no symptoms of genital tract infection; Medical record of surgery as prescribed.
2.3 Procedure for performing surgery
1st stage: Probe hymen: Position, thickness of hymen to decide the incision; Stage 2: Incision of the hymen in the shape of a plus sign: An incision is made through the exploratory needle hole, cut a piece of the hymen, and then separate the mucosa to suture the edge, avoiding adhesion.
2.4 Follow-up after surgery
Monitor the patient's overall health, vital signs in the first 24 hours after surgery; Monitor the patient's vaginal bleeding; Hygiene: Use betadin solution or other antiseptic solutions to wipe the vagina and perineum for the patient. Thick, sealed hymen causes many effects on women's health and fertility. Therefore, right from the time the child enters puberty, parents need to pay attention to observe the physiological manifestations of the child, if there is any suspicion of a blocked hymen, they should take the child to a medical facility. specialists for timely consultation, examination and treatment.
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