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What is a Double Hymen?

Published in Hymenal Anomaly 2 mins read

A "double hymen" is not a medically recognized term. What is often described as a "double hymen" is actually a septate hymen. This is a congenital anomaly where the hymen, the thin membrane partially covering the vaginal opening, has an extra band of tissue running through it, creating two small openings instead of one.

Understanding the Septate Hymen

  • Formation: A septate hymen develops during fetal development when the structures that form the vagina don't fuse completely.
  • Appearance: Instead of a single opening, the hymen presents with two small openings separated by a band of tissue.
  • Symptoms: This can make inserting tampons difficult or painful. Menstrual blood may also have difficulty passing through these smaller openings, potentially leading to discomfort or menstrual irregularities.
  • Diagnosis: A gynecologist can easily diagnose a septate hymen through a physical examination.
  • Treatment: In some cases, a simple surgical procedure called a hymenectomy might be recommended to remove the extra tissue and create a single, larger vaginal opening. This is often done if there are issues with menstruation or tampon insertion.

Other Relevant Conditions

It's important to differentiate a septate hymen from other conditions. For example, an imperforate hymen completely blocks the vaginal opening, a different condition with distinct symptoms and treatments. Additionally, conditions affecting the uterus, like a double uterus, are unrelated to the hymen but can sometimes be present alongside hymenal variations.

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