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HYMEN
REPAIR / VULVAPLASTY / LABIAL REDUCTION |
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Vaginal
Relaxation
Vaginal relaxation can be an unwanted result of
childbirth, aging or muscular deconditioning.
The muscles are relaxed and have poor tone, strength,
and lack control. The internal and external diameters
of the vagina increase. Also, the muscles of the
perineum may be weak and poorly supported. Under
these circumstances, the vagina is no longer at
its optimum physiological state. As a result,
the sensual side of sexual gratification is diminished.
According to the scientific medical paper of Masters
and Johnson, sexual gratification is directly
related to the amount of frictional forces generated.
It is not however, a solution for sexual dysfunction,
lack of interest or arousal, or orgasmic inadequacy.
To tighten the vagina - VULVAPLASTY
- Tightening the vagina will effectively enhance
vaginal muscle tone and strength and may provide
regained control
Several procedures are designed to enhance sexual
gratification for women who, for whatever reason,
lack an overall optimum architectural integrity
of the vagina. Careful assessment of signs and
symptoms and a thorough clinical examination will
precede the surgical decision. Any co-existing
vaginal disease or infection will be diagnosed
and treated before embarking upon surgery. Alternatives
such as Kegel exercises, medical therapies and
psychosocial counseling will also have to be taken
into account. Where urinary bladder symptoms,
such as incontinence, co-exist the surgery may
be modified to address those at the same time.
Using different surgical techniques, we can repair
and tighten the hymen to a more intact, virgin-like
state. In most cases, the surgery is virtually
undetectable after healing.
The
Hymen
The
Hymen : a thin membrane in the vagina
The hymen is a thin, delicate membrane. You can
compare it to skin but much thinner and consisting
of elastic and fibrous tissue. It partially covers
the opening (introitus) of the vagina in most
girls. It is a remnant from the development as
a foetus, of the membranes of the vagina and urogenital
sinus at their point of fusion. In younger women,
the hymen is very vascular. In menopausal women
it has become very thin. In adult virginal women,
the hymen surrounds the vaginal opening more or
less completely.
Function
Of The Hymen
The biological function of the human hymen is
still uncertain. Scientists hypothesize that it
protects the vagina from infection in infants.
It has to be incomplete, in order to allow the
outflow of menstrual blood at the onset of puberty.The
social function of the hymen, however, has been
and still is a mythical symbol of virginity in
many cultures.
Rupture Of The Hymen
Rupture of the hymen normally occurs during first
intercourse (coitus) or rape. But many girls and
teens tear, or otherwise dilate, their hymen for
instance: During sports like bicycling, horseback
riding, gymnastics etc. Inserting tampons. A girl
may not even be aware that a hymen tear has occurred,
since there may be little or no blood loss, nor
pain.The Hymen usually tears posteriorly or posterolaterally
into two or more portions. Commonly, rupture of
the hymen is accompanied by slight bleeding, which
stops spontaneously. Occasionally, a larger vessel
can bleed profusely, possibly even leading to
shock and requiring a blood transfusion. Even
in severe cases, bleeding can usually be controlled
by applying direct pressure to the bleeding point.
Only very rarely surgical assistance is required.
In case of a wide or elastic hymen, the hymen
may not be lacerated even with repeated coitus,
particularly in case of a thin penis. In fact,
many cases of pregnancy have been reported in
women in whom the hymen has not been ruptured.
Some women are born without even a trace of a
hymen.
Virgin
: Restoring Virginity?
A man loses his virginity the first time his penis
enters the vagina. Similarly, a woman loses her
virginity the first time a penis enters her vagina
Restoration
Of The Hymen
It is not uncommon for the gynaecologist-on-call
to be consulted by a blushing young female surrounded
by a whole horde of male relatives demanding that
she be examined. She did not bleed during sexual
intercourse on her wedding night, and the men
all want to know “why”. A simple reassurance
of the doctor may save in cases like this the
girl’s honour. The bride probably had an
elastic hymen, which many women do anyway, and
in such case she wouldn't bleed. Surgeons construct
or restore hymens mostly for cultural reasons.
This can be very important for some. The procedure
comes under a number of names such as: Hymenorrhaphy,
hymenoplasty, reconstruction of the hymen, hymen
restoration, Hymen replacement surgery or restoration
of the hymenal ring. Restoration of the hymen
is done on an outpatient basis, under local sedation.
Hymen
Surgery
Simple
repair : Restoring the hymen consists
of piecing together the remnants by closing the
tear. It is a very simple procedure that must
be done three to seven days before the wedding.
The tissue is simply pulled together. The result
is not meant to last. In this type of surgery,
definite healing is rare because the hymen is
relatively avascular.
Alloplant : A Tear-through biomaterial
can be inserted. This is also a temporary measure,
carried out shortly before marriage in certain
cultures. Hymen
reconstruction : When the hymenal
remnants are insufficient and definitive repair
is envisaged by approximating the undermined hymen
remnants or a vaginal flap. This produces vascular
bands across the introitus.
-The procedure can be done under local anesthetic
and as a day case surgery.
-The process takes one to two hours, and patients
can return to work the next day.
-The sutures are dissolvable. |
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