Hymen Teens
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Berenson A, Heger A, Andrews S.
Berenson A, et al.
Pediatrics. 1991 Apr;87(4):458-65.
Pediatrics. 1991.
PMID: 2011421
Berenson AB, Grady JJ.
Berenson AB, et al.
J Pediatr. 2002 May;140(5):600-7. doi: 10.1067/mpd.2002.123101.
J Pediatr. 2002.
PMID: 12032529
Berenson AB.
Berenson AB.
Pediatrics. 1993 Apr;91(4):820-5.
Pediatrics. 1993.
PMID: 8464674
Edgardh K, Ormstad K.
Edgardh K, et al.
J Reprod Med. 2002 Sep;47(9):710-4.
J Reprod Med. 2002.
PMID: 12380450
Review.
Pillai M.
Pillai M.
J Pediatr Adolesc Gynecol. 2008 Aug;21(4):177-85. doi: 10.1016/j.jpag.2007.08.005.
J Pediatr Adolesc Gynecol. 2008.
PMID: 18656071
Review.
Kotzé JM, Brits H.
Kotzé JM, et al.
Afr J Prim Health Care Fam Med. 2019 Jun 10;11(1):e1-e7. doi: 10.4102/phcfm.v11i1.1954.
Afr J Prim Health Care Fam Med. 2019.
PMID: 31296017
Free PMC article.
Review.
Adams JA.
Adams JA.
Acad Forensic Pathol. 2018 Dec;8(4):924-937. doi: 10.1177/1925362118821491. Epub 2018 Dec 19.
Acad Forensic Pathol. 2018.
PMID: 31240081
Free PMC article.
Review.
Lee IO, Pak HY, Chung JE.
Lee IO, et al.
BMJ Paediatr Open. 2018 Jun 22;2(1):e000276. doi: 10.1136/bmjpo-2018-000276. eCollection 2018.
BMJ Paediatr Open. 2018.
PMID: 29942866
Free PMC article.
Leye E, Ogbe E, Heyerick M.
Leye E, et al.
BMC Womens Health. 2018 Jun 13;18(1):91. doi: 10.1186/s12905-018-0587-z.
BMC Womens Health. 2018.
PMID: 29898708
Free PMC article.
Patel DR, Gushurst C.
Patel DR, et al.
Indian J Pediatr. 1999 Jul-Aug;66(4):577-87. doi: 10.1007/BF02727175.
Indian J Pediatr. 1999.
PMID: 10798114
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The recent increase in requests for genital examinations in girls who may have been sexually abused has necessitated detailed information not previously available on normal anatomy of the prepubertal girl. This study was undertaken to document the genital anatomy of 211 girls between the ages of 1 month and 7 years who presented for well child care or nongynecologic complaints and who had no history of sexual abuse. Each child's genitalia was examined and photographed, with findings reported reflecting those observed photographically. The study population consisted of 36% blacks, 33.6% white non-Hispanics, 29.9% Hispanics, and 0.5% Asians. Subjects had a mean age of 21 +/- 20.6 (SD) months. Extensive labial agglutination sufficient to obscure the hymen was noted in 5% (10/211) and partial agglutination in an additional 17% (35/211). A significant difference was noted in hymenal configuration by age, with a fimbriated hymen the most common type (46%) in infants aged 12 months or younger and a crescentic hymen the most common (51%) in girls older than 24 months (P less than or equal to .001). No significant difference was noted in hymen configuration by race. Hymenal bumps (mounds) were observed in 7%, hymenal tags in 3%, vestibular bands in 98%, longitudinal intravaginal ridges in 25%, and external ridges in 15% of subjects in whom the anatomy under study could be visualized. Hymenal notches (clefts) occurred superiorly and laterally on the hymenal rim but none were found inferiorly on the lower half of the hymen. A narrow rounded hymenal ring with a transection was observed in only 1 (0.5%) of 201 subjects and was not considered a normal finding.(ABSTRACT TRUNCATED AT 250 WORDS)
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Breaking the Hymen: 9 Facts about Hymens and the Concept of Virginity
Why “popping the cherry” actually has little to do with sex.
How to Know if You're Ready to Have Sex
First-Time Sex: 20 Questions About Losing Your Virginity, Answered
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The concept of " virginity " for people with vaginas has a complicated history, and has often been (incorrectly) linked to breaking the hymen. Bleeding after sexual intercourse was incorrectly thought to be proof of an unbroken hymen, and thus, proof that a person had not had sex before. The reality, however, is that the state of your hymen has nothing to do with sexual activity.
With the help of Dr. Jessica Shepherd , a board-certified ob-gyn and a spokesperson for Paragard, and Alexandra Eisler , a health and sex educator from Healthy Teen Network, we're going to separate fact from fiction and explain what a hymen is, how a hymen breaks, and its complicated relationship with the historical concept of virginity. Read on for 9 facts you need to know about this tiny tissue. But first, let's get our definitions clear:
"The hymen is a thin membrane that surrounds the opening to the vagina ," explains Dr. Shepherd. The hymen is just a portion of the vaginal canal that really doesn't serve a purpose. It has no known biological function and it does not, in any way, indicate whether or someone has engaged in sexual activity.
The hymen can be broken in a variety of ways. Sexual activity (including penetration, oral sex, fingering, and masturbation ) can break the hymen, yes, but so can the insertion of a tampon or even exercising. It's also worth noting that you can break your hymen without even knowing it. Dr. Shepherd explains that it's entirely possible to disrupt the hymen during a weight-bearing exercise and not feel a thing. It's also possible to notice a bit of bleeding and tenderness. It's different for everyone.
It is possible to engage in sexual activity without breaking the hymen. It's very possible that the hymen could not be broken during fingering or oral sex, explains Dr. Shepherd. It's even possible (though uncommon) to have intercourse without breaking the hymen.
It bears repeating: the presence or absence of a hymen does not prove or disprove whether someone has engaged in sexual activity.
If you try to look at an intact hymen, it may be difficult to pinpoint. “If you don’t know what you’re looking for, you’d have a really hard time telling the difference, because it will be a fleshy colored membrane in a place where you have flaps and folds and hair,” Eisler says. If you do want to go exploring, though, it's located about about 1-2 centimeters inside your vaginal opening.
Hymens are not one-size-fits-all. There are actually five types of hymen which are medically classified as:
Normal: hymen with a generally crescent shaped opening.
Cribriform: hymen with several small openings through which menstrual blood can flow.
Imperforate: hymen with no opening at all.
Microperforate: hymen with extremely small opening.
Septate: hymen with a thin band of tissue in the center.
Imperforate, microperforate, and septate hymens interfere with menstrual flow and tampon use. In these cases, you can have a minor surgery (called a hymenectomy) to remove the extra tissue and open up the hymen so period blood can flow through. This is performed by a gynecologist.
Once a hymen is broken, either naturally or through a hymenectomy, it will not grow back.
According to Eisler, virginity is a social construct, not a medical condition. “While there is no medical definition for virginity, it is an important concept to many people,” she says. “It's built by social norms and beliefs, even if it doesn't have a scientific basis.”
So you likely have a definition about what virginity entails based on your friends, what your parents have taught you, and whether or not you have specific religious beliefs. To many, virginity means you haven’t yet had sex, though what is considered sex can vary from person to person. It should also be said that having sex doesn't change anything about you; it doesn't add or take away value, just as not having sex doesn't.
The concept of virginity has long been tied up with the heteronormative idea that when a penis enters your vagina, you’re no longer a virgin. There are some obvious problems with this definition. “It gets ridiculous when you think, okay, if someone is a lesbian, knows they’re a lesbian from day one, and has never had penetrative sex, are they going to be a virgin until the day they die?" Eisler says. "If someone only has anal sex but not vaginal sex, are they still a virgin? I’m really clear with folks, that when we say sex, we mean oral, anal, or vaginal sex.”
You should never feel you have to prove your status, and furthermore, it's not even possible to do so. We would argue that the best way to find out if someone has not yet had sex (if they really care to know) is simply to ask — and it's entirely up to you whether or not you want to discuss it at all!
There are some major problems with the concept of " losing your virginity ." The term implies that it isn’t in your control . If you lose your phone, is that a conscious decision? No! We need to change how we talk about the first time a person has sex. It shouldn’t be something that someone takes from you.
“[I don’t like] this idea that young women should be passive receivers of sex,” Eisler says. In too much of the world, women are still controlled in this way. “The most important thing is to keep yourself safe, and do what you feel good about,” Eisler recommends. “Take it slow and really know what sexual experiences are really comfortable for you and your body, what’s going on down there and relax about a lot of it.” And for sure, don’t worry about your hymen. Or lack thereof.
WATCH: 8 Fascinating Facts About the Vagina That Will Change Your Life
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https://pubmed.ncbi.nlm.nih.gov/1741209/
https://www.teenvogue.com/story/facts-about-hymen-and-virginity
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Hymen Teens
