Post Date November, 16 2024
Hymen atresia is an uncommon disease, but it can also occur. After the disease occurs, we recognize its harmfulness and seek reasonable treatment. Generally speaking, surgical treatment is the most important treatment method.
Does hymen atresia affect pregnancy
1. Hymenorrhea is often found after menarche. If not detected and treated in a timely manner, the accumulation of blood can cause the fallopian tubes to become enlarged and deformed, causing blood clots to block the tubes, which can affect fertility after marriage.
2. The normal hymen is divided into perforated, semi lunar, sieve shaped, septal, and microporous types. Hymen closure refers to the complete absence of gaps in the hymen. During sexual intercourse, due to the obstruction of the hymen, the male penis cannot enter the female vagina, sperm cannot combine with the egg to form a fertilized egg, and women cannot conceive.
Treatment of hymen atresia
1. Surgical treatment: Surgical removal of the hymen is best during adolescence, where the occurrence of estrogen can promote vulvar healing. When a girl is young, if there are no symptoms, she can temporarily leave it untreated, but if there is accumulation of vaginal secretions, the hymen should be cut open. The surgical method for imperforate hymen is:
(1) Abdominal compression: During surgical resection, abdominal compression makes the protruding mass more obvious, which is beneficial for operation.
(2) Sucking out accumulated blood can be positioned with a coarse needle and absorbed through a small incision with a knife.
(3) Incision of the hymen: The hymen incision is usually made in an x shape, and experts also make circular or elliptical incisions.
During the surgery, an X-shaped incision is made into the vaginal wall, a thin film is cut, and the excess tissue of the film is cut. The two layers of mucosa that are cut are slightly separated from the base, and longitudinally sutured to make the suture edge serrated and not in the same plane, to prevent future circular stenosis. If there is a diaphragm, first make an x-shaped incision on the outer mucosal surface, separating the mucosal flap at a depth of 1/2 of the thickness of the diaphragm. Cut the inner layer horizontally into a cross shape, and interlace and sew the four pairs of mucosal flaps inside and outside to avoid narrowing due to contracture. In the future, the delivery of pregnancy is often not smooth and requires a cesarean section to end the delivery.
2. Drug treatment: In principle, after the diagnosis of hymen atresia, the hymen should be cut as soon as possible. If the operation needs to be delayed, drugs should be used to inhibit the menstrual cycle and analgesia.
3. Traditional Chinese Medicine Treatment: Assisting traditional Chinese medicine in promoting blood circulation and resolving blood stasis after surgery. In clinical practice, differentiation and treatment are based on the types of qi stagnation and blood stasis, as well as the types of liver and kidney deficiency in hymen atresia.
