A Hymenectomy is a short medical procedure involving the surgical removal or opening of the hymen. It is done to treat imperforate hymen or other situations where the hymen is unusually thick or rigid in order to allow normal menstruation or sexual intercourse.
Always tell the health care provider or nurse what drugs the patient is taking, even drugs, supplements or herbs he bought without a prescription.
During the days before Hymenectomy:
- The patient may be asked to stop taking aspirin, ibuprofen (Advil, Motrin), warfarin (Coumadin), and any other drugs that make it hard for the patient’s blood to clot.
- Ask from health care provider which drugs the patient should still take on the day of the surgery.
On the day of Hymenectomy:
- The patient very often will be asked not to drink or eat anything for 6 – 12 hours before the surgery.
- Take the drugs that health care provider told the patient to take with a small sip of water.
Hymenectomy is done under a local anesthetic. The patient may be given a pill or an injection of medication to relax him. The process is rarely done under a general or regional anesthetic. It can be done in the doctor’s office, clinic or hospital.
If it is an imperforate hymen, it is opened in the center with scissors or a scalpel, the tissue is cut away. The cut area will be sutured with absorbable sutures (they will not have to be removed later) to prevent bleeding.
With a circular hymen, the hymen is incised away and the area sutured to prevent bleeding. The patient may have to remain in a recovery area for an hour before he leaves.
After the Hymenectomy Procedure
- The caregiver may give the patient topical cream or ointment to apply it on the stitches.
- Only take over-the-counter or prescription medicines for pain, discomfort or fever as directed by the caregiver
- Do not take aspirin. It can cause bleeding.
- Do not have sexual intercourse until the patient is healed and the caregiver gives him the permission.
- Do not douche or use tampons.
- The patient may resume his usual diet.
- The patient can put an ice pack to the perineum to prevent swelling.
- The patient may take warm sitz baths 2 to 3 times a day, in a couple of days, to help with any discomfort and healing.
- Do not do any lifting over 5 pounds until your caregiver tells you it is OK.
Seek Medical Care If:
- The patient develops a temperature of 102° F (38.9° C) or higher.
- The patient develops abnormal vaginal discharge.
- The patient is having some of the problems with his medications.
- The patient may develop a rash.
Risks of Hymenectomy
As with any surgical procedure, complications may occur. Some of the possible complications related to Hymenectomy Procedure may include, but are not limited to, the following:
- Painful scar tissue afterward
- Injury to the tube that passes urine (urethra).