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

Davut Güven, Kadir Bakay, Serkan Kuruoglu

Department of Obstetrics and Gynecology, 19 Mayis University School of Medicine, Samsun, Turkey.
Private Hospital Department of Obstetrics and Gynecology, Turkey.

DOI: 10.4236/ojog.2012.23060                

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.

Keywords

Hymen; Pinhole; Microperforate; Infertility

Conflicts of Interest

The authors declare no conflicts of interest.

References

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