Hymen or also known as the hymen has historically been regarded as a marker of female virginity. Hymen is taken from the name of god of marriage in ancient Greece. In some regions and cultures virginity is still considered an important value that symbolizes chastity of women. Purity can result in tearing of exclusion until the death of a woman. In a remote tribe in Australia is a culture to tear the hymen of a bride a week before her wedding by an elder woman. If found then the woman's hymen had been torn into gossip material, even the death penalty.

According to medical tearing of the hymen as well because of the trauma / injury due to first sexual intercourse, can also be caused due to masturbation or vaginal tampons to accommodate the installation of menstrual blood, the presence of excessive strain during exercise, gymnastics, falls hit the handle on the bike, on horse races or can be torn without any cause.

Hymen anatomy 150x150 Anatomy and Shape Variation membrane Dara

Hymen anatomy picture

The hymen is a thin layer such as mucous membrane which surrounds or covers the outside of the vagina. The hymen is a part of the external genitalia (vulva). Until now the function of medical hymen is not known exactly when the baby is likely to function protects it from dirt and bacteria that may enter. The location of the hymen is very close to the mouth of the vagina and protected / covered by the labia minora from the outside.

In newborns, while still under the influence of maternal hormones, the hymen is shaped thick, pale pink, stand out and folded. Often not yet formed a hole in the membrane. For two to four years of life, infants begin to produce the hormone estrogen stimulates the opening of channels that tend to form rounded hymenal ring (annular). Hymenal opening diameter of approximately 1 mm for each year of age. The opening of these channels is different for each woman depending on her hormonal influences. The function of the hole in the hymen is to drain the blood of menstruation. By the time a girl reaches school age, this hormonal influence has been stopped and the hymen becomes thin, smooth, soft, elastic, almost translucent and very sensitive to touch. Hole hymen in women varied size, usually only be bypassed by the little finger without destroying it. In women who have given birth vaginal hymen will be broken and only settled down the rest alone. (Karunkula mitriformis)

So do not be imagined as the hymen is a wall covering a total of vaginal opening. Rather like a thin membrane with holes in the walls.

When the hymen is torn for the first time can be marked with a little discharge of blood and pain. Sometimes it can spend a lot of blood if the tattered pieces widened. Bleeding and pain is normal and will soon disappear. But not always trauma to the hymen menimbulan bleeding. In an elastic hymen bleeding is often not the case. So that the sanctity of a woman should not be solely characterized by bleeding or not at the time of first intercourse.

Get a pregnancy without tearing the hymen?

Keep in mind also that pregnancy can occur without tearing the hymen or without penetration. In the fertile period, women spend a lot of watery mucus so that sperm can move into the uterus easily. So although it is still coated pants sperm can still penetrate. Or when there is direct contact between the penis with the lips of the vagina / vulva sperm can still move inside.

Variations of the hymen

Type annular hymen hymen is a form that is perfect. Type called annular because the full round shape like a ring and form most commonly found.

Annular Hymen Anatomy and Shape Variation 150x150 membrane Dara

Hymenal septum type because of the septum or membrane that forms a bridge to the mouth of the vagina for making holes that are not perfect.
Hymenal type crescent. Ring-shaped incomplete bulatannya.
Type the hymen is seldom found where the shape of the lips of the vulva. Interruption occurs during the formation of holes.
Hymen with Fimbia type is characterized by irregular pattern (irregular) on the walls.
Hymenal type dentikuler because patterned like teeth around the hole hymen.
Hymenal subseptus type. Hymen is a rare type. Shaped like the septum but not full (similar shape to the child's throat)

Variations group hymenal membrane Dara Anatomy and Shape

Hymen abnormalities that require surgical repair

Known as the hymen kribiformis characterized by many small holes like a sieve. Often found difficulties in sexual relationships and require surgery for correction.
In some of the girls found only a very small hole (like pin needles). Can lead to difficulty in sexual relations even require surgery to widen the hole.
Hymen that does not have holes or imperforate hymen. Usually found in newborns. If the hole is not formed until the adults there will be disturbances in menstruation. Found at 1 in 2000 women. In women must be taken to make the channel hymen surgery.


Anatomy and Shape Variation imperforate hymen

Anatomy of the hymen with a history of trauma (sexual intercourse, tampon use, masturbation) before

Form of the hymen in women who are torn during sexual intercourse the first time. Visible tear in the back of the clock 4,5,7,8.

Broken Hymen Anatomy and Shape Variation 150x150 membrane Dara

Hymen of women who masturbate deep into the vagina (internal) or in women tampon users. Change shape and sometimes found a torn hymen.
Hymenal form that was almost lost in women who had vaginal childbirth.

Secrets to increase sensation and sensitivity of the clitoris
Clitoris in women is one organ that has a sensitivity and sexual arousal are high. At a constant stimulation can cause pleasure is incomparable (orgasme clitoris).

But sometimes the woman does not feel or reduced sensitivity of the clitoris. This could be due to excess tissue covering (prepuce) of the clitoris. The reason is that innate, not the opening of the foreskin of the clitoris, obesity or aging factors.

Samakah with female circumcision?

According to Dr. Prima Progestian, SpOG who practice in the UB Women and Children Hospital and Muhammadiyah RSIA Puring Park - both in South Jakarta, one of the ways you can do to restore sensation and sensitivity of the clitoris is the clitoral foreskin surgery downsizing (clitoral hood reduction or also known as as clitoral hoodectomy). This action is similar to the action on male circumcision. But action is not action circumcision clitoral hoodectomy in women. World Health Organization (WHO) does not advocate female circumcision done especially by cutting the entire area of ​​the clitoris and labia as practiced in northern Africa. In Indonesia the action on infant female circumcision is a way of pricking the clitoris with a needle. causing pain and can lead to bleeding and infection. This is an action that is less appropriate because the purpose of opening the foreskin can not be met simply by pricking with a needle and just hurt your baby!

Basically the skin is different from a woman's clitoris foreskin foreskin penis in men. Foreskin does not cover the total female clitoris. Its function is as a protective barrier of the clitoris so it does not need to be eliminated. However, in 50-60% of women sometimes there is excess network covers the clitoris. Excess foreskin is not the primary but secondary to the foreskin at the top and side (lateral), starting from the apex of the clitoris to the labia minora. Excess tissue is what will interfere with sensation and sensitivity to sexual stimulation. To overcome this problem needs to be streamlining of the clitoris foreskin so it will look better in cosmetics and also improve access to stimulation of the clitoris itself. In cosmetic surgery sex organs, often the action clitoral hood reduction is carried out simultaneously with Labiaplasty or Vaginoplasty to improve responsiveness female sexuality.

Clitoral hoodectomy an action that can be done in a day care (one day care). Patients can go home the same day after the action. Long range of action and a half to two hours depending on whether combined with other actions. Patients can perform light activities thereafter. Intercourse can be done after 6 weeks postoperatively.

Rejuvenate sex organs with vaginoplasty
The process of childbirth, aging, and genetic factors often cause the malfunctioning of the vagina. During labor when the baby came out through the birth canal, muscle, fascia and ligaments can experience tears and become weak and loose. Perineum and the pelvic floor muscles that also support the vagina can also experience the same thing. But apparently weak vaginal and pelvic muscles can also be experienced by women who have given birth! The reason could be due to: lack of ancillary muscle tissue (genetic), old cough, and increased abdominal cavity pressure such as heavy lifting, or obesity. The diameter of the vagina becomes larger, the loss of power tongs and control on the contraction of vaginal muscles. Eventually lead to loss of sensation and sexual pleasure. At this stage of the vagina is not functioning optimally.

This problem can lead to disturbances in self-confidence, a sense of satisfaction in intimate relationships and affects the sexual life of the household. Powerful way to fix it is to rejuvenate the vagina (vaginal rejuvenation), also known as Vaginoplasty.

Vaginoplasty is an act of reconstruction of the vagina to reshape normal vagina. Vaginoplasty action aims to reshape and tighten the muscles of the vagina, perineum and the pelvic wall so that the vagina back to its form and function "pre-pregnancy". Vaginoplasty is highly recommended even in women who experience a "decrease" abdominal organs like the bladder (cystocele), urethral tract (uretrokel), rectum (rektokel) or intestine (enterokel). Also on the complaint of incontinence in which patients can not hold the discharge of urine or feces that comes out spontaneously. The repair process as well as the perineum and vagina form the pelvic floor muscles can lead to increased arousal and sexual satisfaction for women (and men)!

Rejuvenate beforeafter1 vagino sex organs with vaginoplasty BEFORE AFTER

What is the process Vaginoplasty?

Dr. Prima Progestian, SpOG of the UB Women and Children Hospital Jakarta to explain the actions Vaginoplasty can be performed in Indonesia, no need to go abroad. Vaginoplasty done by removing excess tissue, and muscles tighten network advocates the vaginal wall, perineum and pelvic floor. This action will make the vagina into the meeting again. The operation was done by general anesthesia, but in severe cases can not be done under local anesthetic. The action takes place within one to two hours and principle, patients can go home the same day. After the patient's actions do not need bedrest, can walk and do light activities. Sometimes patients complain of mild bleeding or pain due to swelling in the area of ​​operation. But usually disappear within one or two days. During the healing process of patients are prohibited from having sex, douching or put tampons within 6 weeks after surgery

Surgery on the fetus, is it possible?
All parents must have wanted the condition of the fetus is healthy and will be born with perfect health. But there are times when the fetus does not grow normally properly. The condition can be caused by abnormalities in the fetus due to maternal age during pregnancy, paternal age is also slightly affected, the mother-father genetic abnormalities, incompatibilities maternal and fetal blood, maternal infection before and during pregnancy, and fetal congenital abnormalities.

Invasive action aims to ensure the health condition of the fetus (screening) or correct (therapy) abnormalities or disease in the fetus.

Some measures that can be done is

1. Chorionic villus sampling (CVS). Action by taking a sample of fetal placenta (chorionic villus) at 11-16 weeks of gestation. Action using a small tube is inserted through the cervix and take a bit of fetal placenta.
2. Amniocentesis. Act of taking a sample of amniotic fluid is the fetus at 16 weeks gestation. Actions performed by injecting a needle in the mother's abdomen into the amniotic cavity with usg guidance (ultrasound guided).
3. Fetal blood sampling during labor (Fetal blood sampling). The act aims to determine the condition of the fetus is experiencing fetal distress during labor. Injection performed on the fetal head to take blood samples and performed the examination pHdarah fetus (seen in blood acidity / acidosis)
4. Kordosintesis. The act of taking blood samples of fetuses in the umbilical cord to the fetus through the abdominal wall puncture ibu.Tindakan performed at 18-24 weeks of gestation. Usually done when CVS or amniocentesis obtained unsatisfactory results. Aiming to find out if there are fetal abnormalities, chromosomal abnormalities, fetal blood, fetal anemia, fetal infections (toxoplasmosis) and even to treat the fetus is abnormal heart rhythms (antiarrhythmic drug injection).
5. Fetal blood transfusion. Measures taken to increase levels of iron (hemoglobin) fetuses had severe anemia because of abnormalities of the fetal blood. (Usually due to maternal blood rhesus factors that do not correspond to the fetus (Rh incompatibility) or the presence of parvovirus B19 infection
6. Feto-amniotic shunting. Fetal surgery to correct abnormalities in the fetus. Action by installing a drain hose for a particular kind of abnormal fluid in the body cavity of the fetus. For example the fluid in the fetal chest cavity (hidrotorak), abnormalities in fetal lung adenoma cysts (cystic adenomatoid malformation of the lung) urinary tract obstruction in the fetus (infravesical stenosis) and presence of fluid in the fetal abdomen (fetal ascites).
7. Open fetal surgery (open fetal surgery) done to correct abnormalities of the fetus. Can be done openly (dissected maternal abdominal wall and the wall of the uterus, the fetus is removed partially or completely, then correction of abnormalities found. Or when it can be done using binoculars (minimally-invasive fetoscopic surgery (also known as Fetendo) by inserting a pair of binoculars associated with the camera so that it can be seen through the TV by a surgeon.

Open fetal surgery can be done:

• Closing the gap in the diaphragm chest cavity which causes the gut into the chest cavity that interfere with the heart and lungs. (Congenital diaphragmatic hernia)
• Treating cysts in the fetal lung abnormalities (Congenital cystic adenomatoid malformation)
• Correcting congenital fetal heart abnormalities (Congenital heart disease)
• Closing the gap in the spine that cause nerve membrane and the bone marrow out. (Myelomeningocele)
• Corrects abnormalities in the lungs (pulmonary sequestration)
• Correcting the tail bone tumors in the fetus (Sacrococcygeal teratoma)
• Closing the gap in the backbone of the fetus in cases of Spina bifida

Fetoscopy actions that can be done:

• Arson / ablation of fetal blood vessels in the placenta in twin fetuses with abnormalities of the Twin-twin transfusion syndrome.
• Corrects obstruction in the fetal bladder by placing a shunt in cases of Fetal bladder obstructions
• Correct the fetal heart valve to improve blood flow (aortic or pulmonary Valvuloplasty)
• Make a hole in the wall of the heart to drain blood (Atrial Septostomy)
• Inserting a balloon in the fetal esophagus so that the fetus can survive (Balloon tracheal occlusion) in congenital diaphragmatic hernia disorders
• Closing the gap in the backbone of the fetus at the Spina Bifida