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Your hymen is a piece of tissue covering or surrounding part of your vaginal opening. It's formed during development and present during birth. It thins over time and tears. Some people will feel pain or bleed when their hymen breaks, but most will not notice.

Adams, J., et al. Interpretation of Medical Findings in Suspected Child Sexual Abuse: An Update for 2018. (https://www.jpagonline.org/article/S1083-3188(17%2930542-9/fulltext) Journal of Pediatric and Adolescent Gynecology. 31:6. 2018. 225-231. Accessed 4/14/2022.
American College of Obstetricians and Gynecologists. Diagnosis and Management of Hymenal Variants. (https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/06/diagnosis-and-management-of-hymenal-variants?utm_source=redirect&utm_medium=web&utm_campaign=otn) Accessed 4/14/2022.
Australian Family Physician. The prepubertal hymen. (https://www.racgp.org.au/download/documents/AFP/2011/November/201111asmith.pdf) Accessed 4/14/2022.
Laghzaoui, Omar. Congenital imperforate hymen. (https://casereports.bmj.com/content/casereports/2016/bcr-2016-215124.full.pdf) Accessed 4/14/2022.
Mishori, R., Ferdowsian, H., Naimer, K. et al. The little tissue that couldn’t – dispelling myths about the Hymen’s role in determining sexual history and assault. (https://reproductive-health-journal.biomedcentral.com/articles/10.1186/s12978-019-0731-8#citeas) Reprod Health . 16, 74 (2019). Accessed 4/14/2022.
National Health Service. Does a woman always bleed when she has sex for the first time? (https://www.nhs.uk/common-health-questions/sexual-health/does-a-woman-always-bleed-when-she-has-sex-for-the-first-time/) Accessed 4/14/2022.

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Your hymen is a small, thin piece of tissue at the opening of your vagina. It's formed by fragments of tissue left over from fetal development . The size, shape and thickness of your hymen are unique to you and can change over time. When you're born, your hymen is usually a ring-shaped piece of tissue that surrounds your vaginal opening. Other times it covers just the bottom of the opening of your vagina . In rare cases, the hymen covers your entire vaginal opening and causes issues with menstruation .
The hymen has a reputation for being an indicator of sexual activity — like a hard, seal-like covering that blocks your vagina — but it usually has no connection to whether a woman (or person assigned female at birth) has had sex. In reality, it's soft and elastic and doesn't necessarily block your vaginal opening. It can break from everyday activities, inserting a tampon or having sex.
You may experience symptoms when your hymen breaks or you may not realize it has occurred.

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Your hymen doesn't serve a purpose in your body or reproductive system . Unlike other organs or tissues with a clear job, no one knows for sure what the hymen does. Some think it might have something to do with keeping bacteria or foreign objects out of your vagina.
Some people know when their hymen breaks, while others don't. Like other tissues in your body, your hymen is flexible and can stretch. It doesn't usually tear the first time it’s pressed on. Rather, it breaks as a result of being worn down. It's not an instant pain you'd feel if you tore a muscle or broke a bone.
Some people experience pain or light bleeding when their hymen breaks, but most will feel nothing. Since it's a flexible piece of tissue, it stretches and thins over time from day-to-day activities or from using tampons. If you bleed when your hymen breaks, many believe it’s their period or spotting.
No, your hymen can't grow back after it breaks. It's a tissue membrane formed during development, and it can't regrow in adults.
Your hymen can have a few different positions around your vaginal opening and come in many shapes and sizes. The most common types of hymen are annular (surrounding the entire vaginal opening) and crescentic (shaped like a crescent moon). These positions are considered normal. Annular hymens resemble donuts, with the center of the donut being the vaginal opening. A crescentic hymen is located at the bottom of the vaginal opening.
In rare cases, it covers the vaginal opening and causes complications. Most newborns will have an annular hymen, but by the time they reach elementary school, it has changed to a crescentic shape.
Your hymen is the same color as the skin around your vagina (flesh-colored). It can form a crescent moon beneath your vaginal opening or surround your vaginal opening. It doesn't cover the vaginal opening entirely because that would prevent menstruation blood from leaving your body. In infants, the hymen will be more noticeable since it hasn't had time to wear down.
If your hymen is broken it may look like a small piece of tissue that’s been pushed off to the side. A torn hymen is tough to see, and you can't feel it with your finger. In some cases, it blends back into the vaginal opening.
Your hymen is an elastic tissue that can stretch as you move. It's slightly thicker at birth but wears over time and loses elasticity due to hormones, activities, inserting tampons or sex.
Your hymen is formed during fetal development when your vagina is developing. Your vagina starts as a solid tube. As the tube dissolves and the vaginal opening expands, the remnants of the tube form your hymen.
There is nothing you can do to control the shape of your hymen. It's formed when you are still in the womb. A hymen disorder is considered a congenital anomaly (you’re born with it). There are five classifications of the hymen:
Your healthcare provider can diagnose a disorder of your hymen with a physical examination of your vagina. Some hymen disorders are diagnosed at birth, while others are not found until a teenager is having issues with menstruation.
If you have a hymen disorder, a minor surgery called a hymenectomy can be performed to fix your hymen. During this procedure, the extra hymenal tissue is removed. This lets period blood flow out the vagina and allows for regular use of tampons.
If you have an issue with your hymen, you will likely know once you reach puberty. In most cases, you will be unable to insert or use tampons during your period. In very rare cases, you may not get your period at all because your hymen covers your vaginal opening. Your healthcare provider will be able to diagnose a hymen disorder by the time you are a teenager.
You likely will not know if your hymen is still intact. Signs of a broken hymen might be light spotting or bleeding, discomfort or visible skin around your vaginal opening. In most cases, your hymen wears down naturally over time. After it breaks, it sometimes will go back into your vagina or appear as a small flap of skin.
If you want to check to see if your hymen is still there, you can use a mirror and examine yourself. If you can see a piece of tissue around the bottom part of your vaginal opening, that is your hymen.
Yes, a tampon can break your hymen. This is a common way the hymen is worn to the point of tearing. In most cases, your hymen breaking will not be a one-time event. It will be gradual, and if you’re menstruating, you may not even notice.
Your hymen doesn't necessarily break the first time you have sexual intercourse. Your hymen can break before you have sex from everyday activities like exercise or inserting a tampon. It's also possible that it does break the first time you have sex. If this happens you may see blood and feel a little pain.
Everyday activities can wear the hymen down or cause it to break. It's important to know that the hymen is a flexible piece of tissue that gradually wears to the point of tearing. Once it does tear, you may feel discomfort or notice blood. Some common activities that can tear your hymen are:
If your vaginal area comes into contact with anything, it can cause your hymen to tear. It's not uncommon for women to have no idea when or how their hymen broke. The experience is different for everyone.
Your hymen is a thin piece of tissue at the opening of your vagina. It gets a lot of attention for being an indicator of sexual activity, but that isn’t entirely accurate. Everyone's hymen is different. Some people experience bleeding and pain, while others don't.
Last reviewed by a Cleveland Clinic medical professional on 04/13/2022.

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From Wikipedia, the free encyclopedia
Membrane that surrounds or partially covers the external vaginal opening
This article is about the vaginal membrane. For the village, see Heyman, Iran . For other uses, see Hymen (disambiguation) .

^ Jump up to: a b c d e f Heger, Astrid H.; Emans, S. Jean, eds. (2000). Evaluation of the Sexually Abused Child: A Medical Textbook and Photographic Atlas (PDF) (2nd ed.). New York: Oxford University Press. pp. 61–65. ISBN 9780195074253 . Archived from the original (PDF) on July 8, 2018 . Retrieved July 8, 2018 .

^ Jump up to: a b c Perlman, Sally E.; Nakajyma, Steven T.; Hertweck, S. Paige (2004). Clinical protocols in pediatric and adolescent gynecology . Parthenon. p. 131. ISBN 978-1-84214-199-1 .

^ Jump up to: a b Lahoti, Sheela L.; McClain, Natalie; Girardet, Rebecca; McNeese, Margaret; Cheung, Kim (March 1, 2001). "Evaluating the Child for Sexual Abuse" . American Family Physician . 63 (5): 883–92. ISSN 0002-838X . PMID 11261865 .

^ Jump up to: a b Heger, Astrid H.; Emans, S. Jean, eds. (2000). Evaluation of the Sexually Abused Child: A Medical Textbook and Photographic Atlas (PDF) (2nd ed.). New York: Oxford University Press. p. 122. ISBN 9780195074253 . Archived from the original (PDF) on July 8, 2018 . Retrieved July 8, 2018 .

^ Mishori, R.; Ferdowsian, H.; Naimer, K.; Volpellier, M.; McHale, T. (June 3, 2019). "The little tissue that couldn't – dispelling myths about the Hymen's role in determining sexual history and assault - Fact 1A" . Reproductive Health . 16 (1): 74. doi : 10.1186/s12978-019-0731-8 . PMC 6547601 . PMID 31159818 .

^ Jump up to: a b c d "The Hymen" . University of California, Santa Barbara . Retrieved September 19, 2020 . While some females bleed the first time they have penetrative intercourse, not every female does. This depends on many factors, such as how much hymenal tissue a female has, whether her hymen has already been stretched or torn, or how thick and elastic it is.

^ Jump up to: a b Rogers, Deborah J; Stark, Margaret (August 8, 1998). "The hymen is not necessarily torn after sexual intercourse" . BMJ: British Medical Journal . 317 (7155): 414. doi : 10.1136/bmj.317.7155.414 . ISSN 0959-8138 . PMC 1113684 . PMID 9694770 .

^ Jump up to: a b Emma Curtis, Camille San Lazaro (February 27, 1999). "Appearance of the hymen in adolescents is not well documented" . BMJ: British Medical Journal . 318 (7183): 605. doi : 10.1136/bmj.318.7183.605 . PMC 1115047 . PMID 10037658 . We agree with Rogers and Stark that so called rupture and bleeding of the hymen is not to be routinely expected after first sexual intercourse.

^ Jump up to: a b Knight, Bernard (1997). Simpson's Forensic Medicine (11th ed.). London: Arnold. p. 114. ISBN 978-0-7131-4452-9 .

^ Hegazy, Abdelmonem; Al-Rukban, Mohammed (January 1, 2012). "Hymen: Facts and conceptions" . The Health . 3 (4). ISSN 2219-8083 . Possible explanations for the lack of genital trauma include... acute injuries occur but heal completely.

^ Healey, Andrew (2012). "Embryology of the female reproductive tract". In Mann, Gurdeep S.; Blair, Joanne C.; Garden, Anne S. (eds.). Imaging of Gynecological Disorders in Infants and Children . Medical Radiology. Springer. pp. 21–30. doi : 10.1007/978-3-540-85602-3 . ISBN 978-3-540-85602-3 .

^ Jump up to: a b c McCann, J; Rosas, A. and Boos, S. (2003) "Child and adolescent sexual assaults (childhood sexual abuse)" in Payne-James, Jason; Busuttil, Anthony and Smock, William (eds). Forensic Medicine: Clinical and Pathological Aspects, Greenwich Medical Media: London, a)p.453, b)p.455 c)p.460.

^ Jump up to: a b Heger, Astrid ; Emans, S. Jean; Muram, David (2000). Evaluation of the Sexually Abused Child: A Medical Textbook and Photographic Atlas (Second ed.). Oxford University Press. p. 116. ISBN 978-0-19-507425-3 .

^ Pugno, Perry (1999). "Genital Findings in Prepubertal Girls Evaluated for Sexual Abuse" . American Medical Association . CiteSeerX 10.1.1.522.1894 . {{ cite journal }} : Cite journal requires |journal= ( help )

^ "Bodies without evidence" . The Sydney Morning Herald . September 21, 2002 . Retrieved July 13, 2021 . {{ cite news }} : CS1 maint: url-status ( link )

^ Callahan, Tamara L.; Caughey, Aaron B. (2009). Blueprints Obstetrics and Gynecology . Lippincott Williams & Wilkins. ISBN 9780781782494 .

^ Lardenoije, Céline; Aardenburg, Robert; Mertens, Helen (May 26, 2009). "Imperforate hymen: a cause of abdominal pain in female adolescents" . BMJ Case Reports . 2009 : bcr0820080722. doi : 10.1136/bcr.08.2008.0722 . ISSN 1757-790X . PMC 3029536 . PMID 21686660 .

^ "Imperforate hymen" . medlineplus.gov . United States National Library of Medicine . 2021.

^ "Congenital Anomalies of the Hymen" . brighamandwomens.org . Brigham and Women's Hospital .

^ "Imperforate Hymen" . mountsinai.org . Mount Sinai Hospital (Brooklyn) .

^ "Cribriform Hymen" . texaschildrens.org . Texas Children's Hospital .

^ "Septate Hymen" . childrenshospital.org . Boston Children's Hospital .

^ Jump up to: a b Loeber, Olga (2008). "Over het zwaard en de schede; bloedverlies en pijn bij de eerste coïtus Een onderzoek bij vrouwen uit diverse culturen" (PDF) . Tijdschrift voor Seksuologie (in Dutch). Vol. 32. pp. 129–137 . Retrieved September 7, 2018 .

^ Amy, Jean-Jacques (January 2008). "Certificates of virginity and reconstruction of the hymen". The European Journal of Contraception & Reproductive Health Care . 13 (2): 111–113. doi : 10.1080/13625180802106045 . ISSN 1362-5187 . PMID 18465471 . S2CID 37484764 .

^ Weis, David L. (1985). "The experience of pain during women's first sexual intercourse: Cultural mythology about female sexual initiation". Archives of Sexual Behavior . 14 (5): 421–438. doi : 10.1007/BF01542003 . PMID 4062539 . S2CID 6427129 .

^ Jump up to: a b c White, C., & McLean, I. (May 1, 2006). "Adolescent complainants of sexual assault; injury patterns in virgin and non-virgin groups". Journal of Clinical Forensic Medicine . 13 (4): 172–180. doi : 10.1016/j.jcfm.2006.02.006 . ISSN 1353-1131 . PMID 16564196 . Hymen injury was noted in 40 (50.6%) participants of the virgin group, but only 11 (12.4%) of the non-virgin group {{ cite journal }} : CS1 maint: multiple names: authors list ( link )

^ Adams, Joyce A.; Girardin, Barbara; Faugno, Diana (May 2000). "Signs of genital trauma in adolescent rape victims examined acutely" . Journal of Pediatric and Adolescent Gynecology . 13 (2): 88. doi : 10.1016/S1083-3188(00)00015-2 . ISSN 1083-3188 . PMID 10869972 .

^ Jump up to: a b c Adams, Joyce A.; Girardin, Barbara; Faugno, Diana (November 1, 2001). "Adolescent Sexual Assault: Documentation of Acute Injuries Using Photo-colposcopy". Journal of Pediatric and Adolescent Gynecology . 14 (4): 175–180. doi : 10.1016/S1083-3188(01)00126-7 . ISSN 1083-3188 . PMID 11748013 . The incidence of hymenal tears in self-described virgins was higher than in nonvirgins (19% vs. 3%, P .008);

^ Adams, Joyce A.; Botash, Ann S.; Kellogg, Nancy (March 2004). "Differences in hymenal morphology between adolescent girls with and without a history of consensual sexual intercourse" . Archives of Pediatrics & Adolescent Medicine . 158 (3): 280–285. doi : 10.1001/archpedi.158.3.280 . ISSN 1072-4710 . PMID 14993089 . Subjects who admitted having past intercourse still had non disrupted, intact hymens in 52% of cases.

^ Jump up to: a b "New York Times Is Wrong about Hymens--But They Are Not Alone" . Psychology Today . Retrieved September 8, 2018 .

^ Slaughter, Laura; Brown, Carl R.V.; Crowley, Sharon; Peck, Roxy (March 1997). "Patterns of genital injury in female sexual assault victims". American Journal of Obstetrics and Gynecology . 176 (3): 609–616. doi : 10.1016/s0002-9378(97)70556-8 . ISSN 0002-9378 . PMID 9077615 .

^ Reading, Richard (December 12, 2007). "Healing of hymenal injuries in prepubertal and adolescent girls: a descriptive study". Child: Care, Health and Development . 34 (1): 137–138. doi : 10.1111/j.1365-2214.2007.00818_7.x . ISSN 0305-1862 . Of the girls who sustained ‘superficial’, ‘intermediate,’ or ‘deep’ lacerations, 15 of 18 prepubertal girls had smooth and continuous appearing hymenal rims, whereas 24 of 41 adolescents' hymens had a normal, ‘scalloped’ appearance and 30 of 34 had no disruption of continuity on healing. The final ‘width’ of a hymenal rim was dependent on the initial depth of the laceration. No scar tissue formation was observed in either group of girls.

^ Goodyear-Smith, Felicity A.; Laidlaw, Tannis M. (June 8, 1998). "Can tampon use cause hymen changes in girls who have not had sexual intercourse? A review of the literature". Forensic Science International . 94 (1–2): 147–153. doi : 10.1016/S0379-0738(98)00053-X . ISSN 0379-0738 . PMID 9670493 .

^ Emans, S.Jean; Woods, Elizabeth R.; Allred, Elizabeth N.; Grace, Estherann (July 1, 1994). "Hymenal findings in adolescent women: Impact of tampon use and consensual sexual activity". The Journal of Pediatrics . 125 (1): 153–160. doi : 10.1016/S0022-3476(94)70144-X . ISSN 0022-3476 . PMID 8021768 . Contrary to the popular belief that transections of the hymen are associated with gymnastics, horseback riding, and other vigorous sports, we found no relation between sports or gymnastics and hymenal changes. There was also no relation to prior gynecologic examination.

^ "Muslim women in France regain virginity in clinics" . Reuters . April 30, 2007. 'Many of my patients are caught between two worlds,' said Abecassis. They have had sex already but are expected to be virgins at marriage according to a custom that he called 'cultural and traditional, with enormous family pressure'.

^ Jump up to: a b Sciolino, Elaine; Mekhennet, Souad (June 11, 2008). "In Europe, Debate Over Islam and Virginity" . The New York Times . Retrieved June 13, 2008 . 'In my culture, not to be a virgin is to be dirt,' said the student, perched on a hospital bed as she awaited surgery on
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