One of the structural causes frequently encountered in young women presenting to clinics with superficial dyspareunia (pain at the vaginal entrance) is hymenal anomalies. An anatomical structure of the hymen that does not allow intercourse can turn initial sexual intercourse attempts into a distressing experience. Dyspareunia due to hymenal thickness and hymenectomy surgical processes are managed with highly comfortable surgical methods.
What Are Hymenal Anomalies?
The hymen is a thin, flexible tissue band located at the vaginal entrance. However, in some women:
- Hymenal Hypertrophy (Thick Hymen): The hymen is significantly thicker and more rigid than normal, preventing penile penetration.
- Septate Hymen: A fleshy tissue bridge passing through the middle of the hymen divides the vaginal opening in two.
- Cribriform Hymen (Sieve-like): The presence of numerous small perforations on the hymen.
These structural abnormalities cannot tear upon strain and lead to severe pain and heavy bleeding.
Definitive Solution: Hymenectomy (Opening of the Hymen)
The treatment involves a Hymenectomy operation performed under local anesthesia or mild sedation, lasting approximately 10 minutes. In this surgery, the hymen is surgically relaxed or its thick portions are excised. By ensuring tissue elasticity, sexual intercourse becomes completely painless and safe. Patients can return home on the same day after the procedure.