A hymenectomy is a minor procedure to surgically remove or open the hymen. Depending on your condition, your gynecologist may perform a septate hymen surgery, a microperforate hymenectomy or a partial hymenectomy. Risks, including bleeding after hymenectomy procedures, can be minimized when the surgery is performed by a top OB/GYN in Queens, NYC.

Hymenectomy Procedure

There is a myth that the hymen is the barrier denoting a woman’s virginity. This myth has long been debunked, as the hymen must already be partially open to allow for menstruation in all women of childbearing age. The hymen is designed to move with pressure.

While sexual intercourse can tear the hymen, there are other reasons the hymen may be damaged or broken, such as from:

  • Tampon usage
  • Masturbation by inserting objects in the vagina
  • Bicycle riding
  • Certain sports
  • A pelvic exam, on rare occasions, especially if performed by a doctor who is not a top OB/GYN in Queens, NYC

Repairing the Damage

Just as the hymen can be broken or easily damaged, it can also be thick and rigid, have too few or too small openings, or be completely closed over, resulting in an imperforate hymen. An imperforate hymen may be caught at birth or may not be discovered until the onset of menstruation.

There are several reasons for performing a hymenectomy, including:

Septate hymen surgery or a microperforate hymenectomy can resolve some issues. A septate hymen has two small holes, but doesn’t respond to pressure. A microperforate hymen is rigid and may have several tiny holes, but again, it hinders menstruation, and intercourse may be uncomfortable to very painful. Your gynecologist assesses and advises you on all your options.

The Hymenectomy Procedure

Before your procedure, be sure to let your OB/GYN know about any allergies to or problems with medication, anesthesia or Novocain. List the medicines you currently take. Discuss any past surgeries and your history of blood clots or bleeding problems. Make sure your doctor knows about any other medical or health problems you may have. The procedure can be done under local anesthesia, although occasionally, your gynecologist recommends a general anesthetic. If given a local, you may also receive a sedative to help you relax.

The surgery is a simple outpatient procedure that can even be accomplished in your doctor’s office in Forest Hills, Queens. Your hymen is opened with scissors or a scalpel, and the tissue is cut away. To close the incisions, your gynecologist uses absorbable sutures that dissolve on their own. After the effects of the anesthesia wear off, you can go home.

What to Expect After Your Hymenectomy

There are several different kinds of hymenectomy procedures — such as a septate hymen surgery, a microperforate hymenectomy and a partial hymenectomy — but all involve similar recovery patterns. After a hymenectomy, your doctor gives you instructions that may include:

  • Applying a prescription-strength topical cream or ointment to keep your stitches soft and clean, or to help with any discomfort
  • Taking over-the-counter pain relievers or prescription pain medicine to combat any discomfort you may feel
  • Not taking aspirin, as it can cause bleeding after hymenectomy procedures
  • Not having intercourse until you are fully healed, usually in about six weeks
  • Not douching or using tampons
  • Returning to your usual, well-balanced diet
  • Using an ice pack to help prevent swelling
  • Taking a warm sitz bath, after several days, two or three times a day, as needed to help the stitches dissolve
  • Not lifting anything over five pounds until you’re cleared by the doctor

Seek medical attention right away if:

  • You run a temperature of 102 degrees.
  • You have abnormal, greenish vaginal discharge. A small amount of yellowish, brownish, or reddish is normal, as there may be some slight bleeding after a hymenectomy.
  • You develop problems with your medication.
  • You develop a rash.
  • There is severe cramping.
  • You become weak and pass out.
  • You notice bloody urination, especially several days after the procedure.
  • There is excessive bleeding after the hymenectomy.

Pros and Cons of a Hymenectomy

As with any procedure, there are benefits and risks to performing a hymenectomy, including some surgical risks. After your procedure, you usually can expect:

  • Relief of discomfort or pain during sexual intercourse
  • Relief from potential bladder infections associated with an unbroken hymen and intercourse aggravating the urethra
  • Reduction of the significant health problems associated with blocked menstrual flow, including infection and death
  • Ability to use tampons

The risks involved with a hymenectomy are rare, since it’s a straightforward procedure. Refraining from intercourse for the duration of the healing process may be an issue for some women and their partners. Also, although the procedure isn’t expensive, the lack of insurance or insurance coverage may give some women pause before agreeing to the procedure. Other risks include:

  • Infection from the procedure
  • Excessive bleeding after hymenectomy surgery
  • Burning at urination for up to two months after the procedure
  • Inflammation
  • Lingering pain
  • Painful scar tissue, which is rare, especially when the procedure is done by a top OB/GYN in Queens, NYC
  • Injury to the urethra, which may require further treatment

What Is a Partial Hymenectomy?

While the myth of an unbroken hymen as an indicator of virginity has been debunked medically, many religious groups place a high value on an intact hymen. For the sake of these religious beliefs, a Forest Hills, Queens gynecologist can perform a partial hymenectomy. This procedure restores normal menstrual flow. A very thick, rigid hymen is replaced with a reduced, thin layer. Normal menstruation occurs and religious principles remain intact.

For the birth defects of an imperforate hymen, microperforate hymen and septate hymen, surgery is often necessary to facilitate normal menstruation. The lack of blood flow is a health risk. After a hymenectomy, you can expect normal, pain-free sexual intercourse. If for religious purposes, an intact hymen is important, your OB/GYN can perform a partial hymenectomy. Honest and open communication with your doctor is essential for the best success of your procedure.

As a best in class gynecologist in Queens, Dr. James  Gohar provides highly personalized and comprehensive care. His philosophy regarding the doctor/patient relationship is based on trust and has earned him one of the most respected reputations  in Queens NY.

For more information about the Hymenectomy procedure, treatment options or to schedule a consultation with the (gynecologist) OBGYN doctor, the best rated Hymenectomy specialist, Dr. James Gohar, please contact our Queens office.

Gynecologist Dr. James Gohar (OBGYN Doctor)
Forest Hills Medical Services
108-16 63rd Rd
Forest Hills, NY 11375
☎ (718) 897-5331