Hymenal stenosis and fibrosis in two adult women

Obstetrics and Gynecology
Andrew GoldsteinAbeer Tabbarah

Abstract

Hymenal abnormalities are most commonly a result of incomplete apoptosis of the urogenital sinus during embryology. Infrequently, however, noncongenital abnormalities of the hymen can occur that can cause significant sequelae such as severe introital dyspareunia. We report on two adult women who developed severe introital dyspareunia secondary to hymenal stenosis and fibrosis in the absence of other vulvovaginal pathology. Neither woman had point tenderness of the vulvar vestibule, but their symptoms of searing pain on vaginal penetration was reproduced by stretching the hymen with two fingers. In both cases, conservative treatments with vaginal dilators in combination with topical hormonal therapy failed to relieve their symptoms, but both women were subsequently successfully treated with hymenectomy. Hymenal stenosis and fibrosis can develop in the absence of identifiable vulvar dermatoses. If conservative treatment with topical hormonal therapy and vaginal dilators is unsuccessful, hymenectomy can restore normal coital function.

References

Jun 1, 1964·The Anatomical Record·M MAHRAN, A M SALEH
Sep 10, 2005·American Journal of Obstetrics and Gynecology·M A OnanO Himmetoglu
Jun 20, 2008·The Journal of Sexual Medicine·Helen E O'ConnellJoan Cleeve

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Citations

Sep 4, 2018·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Eitan AmitaiTali Silberstein
Dec 15, 2020·The Journal of Obstetrics and Gynaecology Research·Süleyman Eserdağ, Ali Dogukan Anğın

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