12-year-old girl from Hanoi with severe abdominal pain due to a perforation of her hymen



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– The girl went to the hospital for an examination due to severe abdominal pain, the doctor discovered that the girl had amniotic fluid in the vagina and uterus.

Plastic, reconstructive and maxillofacial surgery doctors BV E have successfully operated on a 12-year-old girl in Hanoi with a birth defect.

Dr. Nguyen Dinh Minh, head of the Department, said that two months ago, the girl had pain in many areas of the lower stomach, had episodes of pain, and the family took her to obstetrics. The doctor discovered that there was a menstrual congestion in the vagina and uterus, so he made an incision in the hymen to release menstrual blood.

However, the situation reappeared, so she was brought to BV E for examination. The results of the second examination showed that the hymen that was injected for the first time had healed, menstrual blood continued to accumulate in the vagina.

12-year-old girl from Hanoi with severe abdominal pain due to a perforation of her hymen

Dr. Minh and a surgical team corrected the children’s creation problem.

According to Dr. Minh, obstetricians generally cut the hymen in a cross shape to produce menstrual bleeding, rare cases of adhesion. Particularly for this girl, the hymen is a narrow 18mm vagina, so after incision this segment has become sticky.

The hymen is a thin membrane that crosses the vaginal opening and is generally ring-shaped with one or more small holes in the middle.

However, this girl had a perforation in the hymen, which means that when she reached puberty, menstrual blood was unable to escape, causing a seizure that caused severe pain in the lower abdomen.

The surgery took place on 12/5, the doctor has just expanded the vaginal tract to eliminate blood stasis, it has widened around the narrow neck, taking advantage of the vaginal mucosa from the inside to rotate the lining of the mucosa. The vagina to cover the narrow tube section has been enlarged to prevent sticking.

After the opening is wide, the doctor places a small hot silicone mold within 1 week to prevent adhesion and narrowing, and can easily clean the wash pump through the previously mentioned empty tube.

After surgery, the patient is fully awake and is expected to leave the hospital after 7 days. The patient can wear the hot frame within 3 months and use the larger mold to maintain female function later.

In the case of girls, Dr. Minh recommends, families with girls at puberty should pay special attention to the boy’s menstrual cycle to see if it is regular or abnormal.

Upon reaching puberty without menstruation, parents should take their children for an obstetric examination in order to detect one of the following 2 malformations:

First, birth defects without the vagina and uterus (MRKH syndrome) will generally continue to have ovaries. Patients develop completely normal but without menstruation, without painful symptoms.

These cases will require surgery to create the vagina, patients can still have natural motherhood, normal wives.

Second, hymen defects do not pierce or narrow / stick the head of the vagina at the rate of 1 in 1,000 girls. Menstruating but not escaping patients can cause severe pain with each episode in the lower area. Your doctor will need a hymenal incision or a vaginal prosthesis.

After surgery, patients can have sex, get pregnant, and have babies like normal, healthy women.

Thuy Hanh

Unable to have sex, the girl is creating a vagina from the oral mucosa

Unable to have sex, the girl gets a vagina created from the oral mucosa

– The girl grew up charming but beyond 20 years she has no menstruation. The doctor concluded that she does not have a uterus or vagina.

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