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Hymenotomy is a surgical procedure to remove or open the hymen – the membrane near the opening of the vagina. It is usually performed on a woman with a septate or imperforate hymen that obstructs the flow of menstruation, as well as an unusually thick or rigid hymen, such as microperforated hymen, which limits access to the vaginal opening, causing pain and discomfort for sexual activities and removing/inserting tampons.
You will receive general anesthetic before the procedure, but in some cases, a local anesthetic is used instead. Then, your surgeon will create an opening by cutting the membrane of the hymen using special surgical tools. The final step is securing any incisions using small dissolving stitches, which will be absorbed by your body naturally as you heal.
You may be able to leave the hospital on the same day. However, you should plan to stay in Seville for 5 to 7 days for initial recovery. Your doctor may also schedule a follow-up hospital checkup to monitor your healing.
Most patients feel well enough to return to work and resume their normal activities within a few days, but you may be recommended to rest for 1 week. You should be able to have sexual intercourse after 2 to 4 weeks following a Hymenotomy. It is important to consult with your surgeon as to when you can get back to your full routine, including work and exercises.
It is very important to follow the post-operative care instructions that your surgeon gives you to help with your recovery, which usually includes recommended exercise, dietary restriction, and wound care. You also need to keep the genital area dry and clean and avoid inserting anything into your vagina, including a menstrual cup, tampon, or diaphragm at least until you have recovered completely.
Hymenotomy is very safe, effective, and it has a high success rate. Although risks of side effects and complications are rare, they can occur, which include infection, bleeding, inflammation, scarring, injury to other organs, lingering pain, and scar tissue. Some people may also have complications when they become pregnant and give birth after the procedure, so make sure you consult with your surgeon if you are planning to become pregnant.
Hymenotomy is currently the only option to treat imperforate, microperforated, and septate hymen. However, if you do not want to undergo surgery, you should discuss with your doctor what your best option will be.
Before the surgery, you may be unable to have sex, menstruate, or use a tampon. After a hymenotomy, all of these problems are relieved and you can enjoy them without any pain. You will also be able to have normal menstruation.
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