OJOG> Vol.2 No.3, September 2012

Microperforate (Pinhole) hymen and infertility; a rare case report

DownloadDownload as PDF (Size:130KB)  HTML    PP. 287-288  

ABSTRACT

Inroduction Female genital tract anomalies may have a devastating impact on the potential for sexual activity and fertility. Microperforate (pinhole) hymen is one of them. Microperforate hymen can lead to infertility, primary amenorrhea, acute or chronic pelvic pain, abnormal vaginal bleeding, dysuria, pollakiuria or a foul-smelling vaginal discharge. Aim We aim to report a patient who had intercourse problems and infertility complaints later found to have a microper-forate hymen. Discussion Pinhole opening of hymen may permit passage of fluids. Consequently spontaneous pregnancy can occur rarely. A few reports showed pregnancies with intact hymen without penetration of penis. But in general patients have fertility problems. Conclusion The results of the surgery are similar in all techniques and the particular surgical centre will have its own preference of which technique it prefers since after diagnosis definitive treatment is surgical and effective. Failure to manage these patients correctly may have long-term sequelae for their psychological, sexual and reproductive health.

Cite this paper

Güven, D. , Bakay, K. and Kuruoglu, S. (2012) Microperforate (Pinhole) hymen and infertility; a rare case report. Open Journal of Obstetrics and Gynecology, 2, 287-288. doi: 10.4236/ojog.2012.23060.

References

[1] Bhatnagar, K.P., Nettleton, G.S. and Nakajima, S.T. (2002) Female genital anomalies affecting reproduction. Fertility and Sterility, 78, 899-915.
[2] Edmonds, D.K. (2003) Congenital malformations of the genital tract and their management. Best Practice & Research Clinical Obstetrics & Gynaecology, 17, 19-40.
[3] Goto, K., Yoshinari, H., Tajima, K. and Kotsuji, F. (2006) Microperforate hymen in a primigravida in active labor: A case report. The Journal of Reproductive Medicine, 51, 584-586.
[4] Topcuoglu, M.A., Koc, O., Timuroglu, T. and Donmez, M. (2010) Microperforate hymen and pregnancy: A case report. http://tipdergisi.ibu.edu.tr/arsiv/2010/123/9.pdf
[5] Onan, M.A., Turp, A.B., Taskiran, C., et al. (2005) Spontaneous closure of the hymen during pregnancy. American Journal of Obstetrics and Gynecology, 193, 889-891. doi:10.1016/j.ajog.2005.03.025
[6] Bakos, O. and Berglund, L. (1999) Imperforate hymen and ruptured hematosalpinx: A case report with a review of the literature. Journal of Adolescent Health, 24, 226-228. doi:10.1016/S1054-139X(98)00077-9

  
comments powered by Disqus

Copyright © 2014 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.