Answer (1 of 16): Basically, that the bleeding is not coming from the uterus! Some people are born with a hymen that is not easily broken. It is not intended to substitute for the independent professional judgment of the treating clinician. Your healthcare provider or surgeon may come to see how you are doing after the surgery and answer any questions you have. There is bloody urination or excessive bleeding after the hymenectomy. The perineum is best examined in either the dorsal lithotomy or frog-legged position. Although a hymenectomy is a minor surgery, there can still be some associated risks. Other signs and symptoms such as vaginal discharge, vaginal pain, abdominal pain, and fainting may also be present in such situations. https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Adolescent-Health-Care/Diagnosis-and-Management-of-Hymenal-Variants?IsMobileSet=false Some of the risks include: It doesnt take long to recover from a hymenectomy. Heinonen PK Organ injury 6. In some cases, you may have lingering discomfort for a couple of months. They may ask you to restrict food and beverages for at least 12 hours before a hymenectomy. There may or may not be a bulging proximal vagina if there has been a spontaneous perforation. These risks include: Itching or irritation as the wound heals and sutures dissolve Potential for infection after surgery and during the healing process Increased risk of bleeding after surgery Inflammation or swelling around the vulva or in the vagina could i get pregnant having an elastic hymen ? , (Image courtesy of Anne-Marie E. Amies Oelschlager MD, University of Washington, Seattle, Washington. ), Figure 3. (Image courtesy of Anne-Marie E. Amies Oelschlager MD, University of Washington, Seattle, Washington. Theyll go over the details of the procedure, including pre-operative and post-operative instructions to follow at home. She is also the author of "Ask Me About My Uterus: A Quest to Make Doctors Believe in Women's Pain (2018).". It is FREE! Management of Acute Obstructive Uterovaginal Anomalies Doctors can typically perform the procedure in their office or outpatient clinic with a localized anesthetic. Instead of reading bedtime stories I read medical textbooks. Martin-Alguacil N When you arrive at the hospital you will be asked to change out of your regular clothes and into a hospital gown. You will be told everything you need to know about when to arrive, what to expect, and what you should bring with you (or leave at home). I got a hymenectomy yesterday and I am bleeding considerably. In the first few days of healing, it may be quite painful. plural hymenectomies. Distal vaginal atresia. These risks include: After a septate hymen surgery, it can take several weeks before you can resume your regular routine. Conclusions: Hymenectomy is associated with significant long-term obstetrical and gynecological complications. No part of this publication may be reproduced, stored in a retrieval system, posted on the internet, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without prior written permission from the publisher.Requests for authorization to make photocopies should be directed to Copyright Clearance Center, 222 Rosewood Drive, Danvers, MA 01923, (978) 750-8400.American College of Obstetricians and Gynecologists 409 12th Street, SW, PO Box 96920, Washington, DC 20090-6920Diagnosis and management of hymenal variants. If a person has an abnormally thicken or tough hymen, the opening needed to allow menstrual effluent to flow freely may not be created. In the rare occasion the procedure is performed in a prepubertal patient, application of a short course of topical estrogen cream to the surgical site may be given to enhance healing and decrease the likelihood of stricture formation and subsequent stenosis 4. These disorders can affect menstruation and sexual intercourse. 2013;5(5):1012-1012. doi:10.5812/numonthly.11768, Amitai E, Lior Y, Sheiner E, Saphier O, Leron E, Silberstein T. The impact of hymenectomy on future gynecological and obstetrical outcomes. You may experience minor bleeding or vaginal discharge for up to a week after the procedure. However, during this canalization process, the membrane can vary in its resolution, leaving a complete obstruction, imperforate hymen, or any number of partial remnants, such as the microperforate and septated hymen Figure 1. Before you go home, make sure to understand your instructions for recovery, including what activities or medications to avoid. Don't worry though - most STIs are quick and easy to treat, usually with a course of antibiotics. Is this bleeding normal? 779, Kow L You may be given other sedative medications or pain relievers. ; ), American College of Obstetricians and Gynecologists Call your doctor if you have any of these symptoms with any type of hysterectomy: Fever or chills Heavy bleeding or unusual vaginal discharge Severe pain Redness or discharge from incisions. A nurse will start an IV line in your arm so you can be given fluids and medication during the procedure. Welcome to TwoXChromosomes, a subreddit for both serious and silly content, and intended for During a hymenectomy, a gynecologist will use scissors or a scalpel to cut excess hymenal tissue. Experience vaginal bleeding or abnormal discharge Have blood in your urine, are unable to urinate, or experience severe pain when passing urine Feel ill, suddenly weak and dizzy, or faint If you are sexually active, your healthcare provider will give you very important instructions about having intercourse after your surgery. Recovery is very quick, usually lasts 2 weeks. For additional quantities, please contact [emailprotected] I was molested as a child for few years. Your doctor might recommend a follow-up appointment a few weeks after surgery to check on your recovery progress. This bleeding is typically not heavy. , A hymenectomy opens or removes your hymen to allow for normal menstruation and the use of tampons. Taking over-the-counter pain relievers or prescription pain medicine to alleviate any discomfort. Management of acute obstructive uterovaginal anomalies. Most peoples hymens will naturally open before puberty to allow for menstruation to occur. Discussion Content on HealthTap (including answers) should not be used for medical advice, diagnosis, or treatment, and interactions on HealthTap do not create a doctor-patient relationship. I also have a piqued interest in the medical field. Hymenectomy was performed again in both cases while the vaginal septum was dissected under US guidance. If the imperforated hymen is not detected early and treated, it can lead to vaginal infection, fertility-reducing endometritis, and kidney issues. Your healthcare team will go over these risks with you before you have the procedure. ), Figure 2. Redness or swelling of an incision. You can usually bathe or shower normally after the surgery. A septate hymen is when the hymen encircles the vaginal opening and has an additional string of tissue that connects the top and bottom ends of the vagina. Is Hymenotomy Enough for Treatment of Imperforated Hymen? It could be a sign of various disorders, including: 4 Atrophic vaginitis Tumors Endometriosis (particularly on the bowels) Bladder disorder Learn More: Treating Endometriosis If you notice that vaginal bleeding. A hymenotomy is a minor surgical procedure to remove extra tissue from the hymen. ), Figure 6. Created for people with ongoing healthcare needs but benefits everyone. It's heavy. In most cases, the bleeding is normal and not a cause for concern. You can find out more about our use, change your default settings, and withdraw your consent at any time with effect for the future by visiting Cookies Settings, which can also be found in the footer of the site. A topical emollient, such as zinc-based diaper cream, silver sulfadiazine, petroleum jelly, or coconut oil can be used several times a day during the recovery process. I asked my mother what it was and she told me. If you have any questions or do not understand the risks, talk to your healthcare provider and share any worries you may have. Doctors may recommend minor surgery to correct an abnormal hymen either at birth or as soon as it causes issues. my h-m-nek-t-m. Surgical management of clinically significant hymenal variations involves excision of the hymenal tissue and rarely is associated with long-term sequelae. In addition, granulation, a type of scar tissue, can form on the vaginal cuff and prevent complete . Other times a hymenectomy is performed later in life when a person is experiencing pain during sex. Figure 4. More than 500 mL of viscous old blood was drained from the vagina, uterus and the right salpinx. It is important to note that a microperforate hymen or septate hymen may not present as an obstruction. My second (more actually my first) was with gynocologists. Its necessary if you have certain congenital irregularities of the hymen. The American College of Obstetricians and Gynecologists has neither solicited nor accepted any commercial involvement in the development of the content of this published product. If an adolescent is doing well after the procedure, she may not need additional care; however, because of the risk of endometriosis after hematometrocolpos, she should be encouraged to return if she experiences significant dysmenorrhea 6. The septate hymen can be identified by tenting the tissue with a cotton swab. ACOG Committee Opinion No. At puberty, a patient with an imperforate hymen typically presents with a vaginal bulge of thin hymenal tissue with a dark or bluish hue caused by the hematocolpos behind it. How Much of Your Surgery Will Health Insurance Cover? Please note, we cannot prescribe controlled substances, diet pills, antipsychotics, or other commonly abused medications. If the swab cannot be passed behind a band of hymenal tissue, a longitudinal vaginal septum is likely, and ultrasonography is recommended. 36 Whether patients are referred to us or already have a Cleveland Clinic ob/gyn, we work closely with them to offer treatment recommendations and follow-up care to help you receive the best outcome. Policy. American College of Obstetricians and Gynecologists. You will also need to use the bathroom before you can be discharged. . Application of a topical anesthetic cream, such as 4% lidocaine cream, often is sufficient. I had diahreha with blood. . Vaginal bleeding that begins immediately after hysterectomy and continues for more than 6 weeks after surgery should be considered seriously.