Treatment of Haematocolpos in Imperforate Hymen

Clinical Scenario

Haematocolpos — accumulation of blood in the vagina — arises here in the setting of an imperforate hymen, a congenital anomaly in which the vaginal orifice is fully occluded by a hymen without an opening, preventing normal outflow.

Condition

In imperforate hymen, the vaginal orifice is occluded by a hymen without an opening. This structural obstruction underlies the haematocolpos and determines the surgical approach required.

Treatment Approach

Management centres on a surgical procedure directed at the hymen itself — either incision or removal. In certain cases, a hymen-preserving variant of the procedure may be selected instead. The complete protocol — including procedural selection criteria and technique detail — is in the full regimen below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1007/s11604-021-01115-7

In imperforate hymen, the vaginal orifice is occluded by a hymen without an opening.

Imperforate hymen is generally managed by hymenotomy (surgical incision of the hymen) or hymenectomy (surgical removal of the hymen).

Hymen-preserving surgeries such as simple vertical incision and annular hymenotomy are occasionally performed owing to the importance of the first intercourse bleeding.

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