How is an imperforate hymen treated?
An imperforate hymen is treated with surgery to remove the excess hymeneal tissue. It is normally a "day surgery," which means your daughter will probably not need to stay in the hospital overnight.
The doctor will remove excess hymeneal tissue and place dissolvable stitches to avoid the formation of scar tissue and re-blockage of the hymeneal opening.
When is imperforate hymen surgery recommended?
The timing of surgery is based on symptoms. Most newborns do not have any symptoms, so they do not require treatment. The doctor will only recommend surgery for a newborn if the fluid collection is causing pain or infection.
Generally, the doctor will not perform surgery until after puberty has started. This allows a greater surface area on which to operate. It also allows the presence of estrogen, which helps to facilitate surgical repair and healing. Estrogen makes the tissue pliable and relaxed, which helps it heal easily without scar tissue or closure in the vaginal opening.
What is the prognosis for imperforate hymen surgery?
Once the imperforate hymen has been surgically corrected, there should be no long-term issues. The vagina will function normally and your teenager will be able to comfortably have periods and use tampons if desired. Surgery does not interfere with the ability to have children in the future.
Why choose Children’s Colorado to treat your daughter’s imperforate hymen?
At Children’s Colorado, we provide expert care for the diagnosis, treatment and management of health issues of the female reproductive organs in children and teens.
Our board-certified pediatric and adolescent gynecologists have specialized training in the reproductive health concerns of girls of all ages. As this condition is treated with a minor outpatient procedure, we provide both outpatient and inpatient surgical services. We also have board-certified pediatric anesthesiologists to assist us during the procedure.
Compassionate care for sensitive issues
Doctors at Children’s Colorado understand that topics involving female reproductive organs can be stressful to address, which is why we’re extra sensitive to the mental and emotional needs of our patients and their families. We create a friendly environment for dialogue and encourage our patients to ask questions and talk openly with their care team.