Virginity Hymen
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Virginity Hymen
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1 Division of General Paediatrics, Department of Woman, Child and Adolescent Medicine, Geneva University Hospitals, Geneva, Switzerland.
2 Division of Gynaecology, Department of Woman, Child and Adolescent Medicine, Geneva University Hospitals, Geneva, Switzerland.
Dehlia Moussaoui et al.
J Paediatr Child Health .
2022 Mar .
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1 Division of General Paediatrics, Department of Woman, Child and Adolescent Medicine, Geneva University Hospitals, Geneva, Switzerland.
2 Division of Gynaecology, Department of Woman, Child and Adolescent Medicine, Geneva University Hospitals, Geneva, Switzerland.
Embryologic development of female genital organs. Left: Frontal view of female sex organs of a 4‐month fetus. The uterus and the upper part of the vagina (blue) come from the fusion of the paramesonephric ducts. The lower part of the vagina (yellow) comes from the urogenital sinus. Right: Sagittal view of female sex organs of a 5‐month fetus. The lumen of the vaginal canal is separated from the vaginal vestibule by the hymen (star), which will open around birth. (Reproduced from http://embryology.ch/anglais/ugenital/genitinterne05.html 7 , with permission.)
Physiological variations of hymenal anatomy (upper line) and variations requiring investigations and treatment (lower line). A septate, cribriform or microperforate hymen may lead to difficulty with tampon's insertion or vaginal penetrative sex.
Labelled diagram of the external female genitalia. Courtesy of Michal Yaron.
Morphological features of the hymen. Left: Mounds and superficial clefts extending to <50% of the hymenal width are non‐specific. A clock‐face representation is suggested for consistent description of hymen's morphological features. Middle: A deep cleft extends to >50% of the hymenal width. Right: A transection is a complete defect traversing through the entire width of the hymen, to the fossa navicularis.
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Paediatricians may face the notion of 'virginity' in various situations while caring for children and adolescents, but are often poorly prepared to address this sensitive topic. Virginity is a social construct. Despite medical evidence that there is no scientifically reliable way to determine virginity, misconceptions about the hymen and its supposed association with sexual history persist and lead to unethical practices like virginity testing, certificate of virginity or hymenoplasty, which can be detrimental to the health and well-being of females of all ages. The paediatrician has a crucial role in providing evidence-based information and promoting positive sexual education to children, adolescents and parents. Improving knowledge can help counter misconceptions and reduce harms to girls and women.
Keywords:
child; hymen; sex education; virginity.
© 2022 The Authors. Journal of Paediatrics and Child Health published by John Wiley & Sons Australia, Ltd on behalf of Paediatrics and Child Health Division (The Royal Australasian College of Physicians).
Embryologic development of female genital…
Embryologic development of female genital organs. Left: Frontal view of female sex organs…
Physiological variations of hymenal anatomy…
Physiological variations of hymenal anatomy (upper line) and variations requiring investigations and treatment…
Labelled diagram of the external female genitalia. Courtesy of Michal Yaron.
Morphological features of the hymen.…
Morphological features of the hymen. Left: Mounds and superficial clefts extending to 50%…50%>
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Is the hymen visible to the naked eye?
Is the hymen the same in every person?
How does menstrual blood pass through the hymen?
Is the hole in the hymen too small to fit a finger or a tampon?
If my hymen ruptures, will it hurt or bleed?
Is there a “right” time to lose your virginity?
Can the hymen be damaged before having sex for the first time?
Do virgins have to visit a gynecologist?
Is staying a virgin after the age of 18–20 bad for your health?
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Every piece of content at Flo Health adheres to the highest editorial standards for language, style, and medical accuracy. To learn what we do to deliver the best health and lifestyle insights to you, check out our content review principles .
What is a hymen? What does it do? Does it have anything to do with virginity? Today, we're answering these and many other questions.
The hymen is a thin membrane that covers the vaginal opening. It consists of connective tissue, muscle fibers, blood vessels, and nerve endings.
For people who have one, the hymen can be easy to detect. It usually lies within 0.8 inches (1–2 centimeters) of the vaginal opening, creating a partial boundary between the external and internal genital organs.
The appearance and structure of the hymen vary just like body shape or hair color. Each hymen has its own shape, type (which is determined by the number and size of holes in the hymen), thickness, elasticity, blood vessels, and nerve endings.
Some hymens may be elastic and stretchable; others are not. Some may have many nerve endings, while others may only have a few.
So far, scientists haven't reached a unanimous conclusion on this subject. One of the most common theories is that the hymen acts as a kind of barrier to prevent infectious agents from entering a developing body.
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About 0.03 percent of people who could have hymens are born without one. These individuals rarely have any problems with the development of their reproductive system, as the hymen isn’t necessary for healthy sexual growth.
The hymen has one or more holes to let blood through naturally. Usually, the hymen looks like a doughnut and has a large hole that can fit one or two fingers.
A smaller percentage of people have hymens with two holes (septate type) that look a bit like nostrils. Others have several small holes (microperforate type) or none at all (imperforate type).
Sometimes, the hymen hole is so small that a tampon can’t fit. Consulting a health care provider will help you find out what type of hymen you have. This can reduce the risk of unintentionally disturbing your hymen if you choose to use tampons.
Each hymen has an individual structure; some individuals may experience bleeding and pain, while others may have neither.
This largely depends on the thickness of the hymen. The thicker it is, the more painful a potential tear can be.
Bleeding during the first sexual intercourse happens in only 43 percent of cases. The amount of blood can vary from a few drops to bleeding for a few days. If the bleeding lasts for longer than three days, consult a health care provider.
Choosing your first sexual experience is a personal issue. You are free to make your own decisions regardless of your friends' experiences or societal pressure. When you feel ready, it’s most important to find a sexual partner who shares your feelings and respects your priorities.
The hymen can be disrupted before having sex for the first time (for example, from masturbation, a medical examination, surgery, or using tampons that are too large).
Some people’s hymens can be affected after an injury, excessive physical exertion, and some kinds of exercise.
The American College of Obstetrics and Gynecologists recommends the first gynecological examination should occur between the ages of 13 and 15 years, regardless of sexual activity.
At your first visit, you will receive information about reproductive health care, and the doctor will ask for your permission to examine your sexual development.
Virginity doesn't harm a person’s health. In fact, abstinence is the only thing that offers total protection from sexually transmitted infection and unwanted pregnancies.
“Diagnosis and Management of Hymenal Variants.” ACOG, 12 May 2019, www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2019/06/diagnosis-and-management-of-hymenal-variants. Mishori, Ranit, et al. “The Little Tissue That Couldn't - Dispelling Myths about the Hymen's Role in Determining Sexual History and Assault.” Reproductive Health, BioMed Central, 3 June 2019, www.ncbi.
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