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La hymenoplasty, a type of surgery that is also classified as female intimate surgery or cosmetic surgery, is a surgical procedure belonging to the specialty of the gynecological surgery lasting between 45 and 60 minutes which consists of restoring the hymen, a fleshy ring-shaped membrane located at the entrance to the vagina whose physiological function is unclear and whose social value in some cultures lies in ensuring the female virginity.

When the hymen After sexual contact, the membrane breaks into a "star" shape and the woman bleeds from the rupture of the hymen, therefore in the hymenoplasty the hymen through different processes and a small hole is left for the exit of menstruation and other fluids. The points are reabsorbed on their own.

Dr Francisco Carmona
Medical and Surgical Director of the Women's CD Clinic. Head of Gynecology at the Hospital Clinic de Barcelona. Hymenoplasty surgeon.

Techniques to perform a hymenoplasty

The simplest is the one in which the remains that may remain of hymen applying local anesthesia. It can only be done in some cases where the break is small.

You can also use a tear-away biological material, called Alloplant, which is implanted at the entrance to the vagina in a way that mimics hymen "virginal", technique similar to creating a membrane with a blood supply. Sometimes it may include a gelatinous capsule of a laboratory-made substance that mimics blood.

Vaginal plastic surgery can be performed, in which an incision is made on both sides of the mucosa that lines the vaginal walls and is joined together. Unlike the other two techniques, in this case you must wait a while before having sexual intercourse, since you have to give time to recovery and healing. A break of at least 24 hours after surgery is recommended.

The risks of undergoing a hymenoplasty are:

  • Pain
  • Inflammation
  • Infection in the treated area
  • Hemorrhage
  • Bladder or rectum damage (rare complication)

After surgery, the hymen He will behave in the same way as before the first sexual intercourse, and the woman will even feel pain and bleed again as in "her first time".

Influence of culture in the reconstruction of the hymen

It is a surgical practice highly sought after by women whose culture places great importance on virginity of the woman and in which the call is practiced Virginity Test, a procedure that determines if a woman is a virgin. The test consists of an inspection of the hymen, assuming that it can only rupture as a result of sexual intercourse.

It emerged as a solution to those women who, without being virgins they wanted to show it off on their wedding night. The most established reasons for this are the rejection of one's own family and / or the husband's family, as well as the rejection of one's future spouse.

In some cases in certain countries it is punished with measures that can lead to death by stoning. There are numerous testimonials related to this topic, as explained in this article from El Mundo. Also, various societies consider it necessary to ensure a lasting relationship.

La hymen reconstruction or hymenoplasty can, therefore, be an option for women who, due to social or family pressure, must reach marriage virgins.

It is necessary to know that there may be several reasons other than having had intercourse for which the woman may not have hymen or not bleeding during the first intercourse, such as:

  • One in a thousand women are born without hymen.
  • Up to 44% of women do not experience blood loss during the first intercourse, which means that in some cultures that are tested for bleeding, bleeding would not occur.
  • El hymen it can be broken by inserting a finger or tampon into the vagina.
  • Practice exercises such as horseback riding, swimming, cycling, or gymnastics.
  • Excessive menstrual flow.
Dr. Francisco Carmona. Barcelona gynecologist

Dr Francisco Carmona

Women's Medical Director

    Make an appointment with Dr. Francisco Carmona

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