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What is a Hymen? Exploring its Biological Function and Common Misunderstandings

By Dr. Nayana Shetty +2 more

Key Highlights: 

  • The hymen is a thin piece of tissue located at the vaginal opening. 
  • Its biological function is largely misunderstood, resulting in a number of misconceptions. 
  • Hymens differ between women in appearance and shape. 
  • Hymen can change over time due to both sexual and non-sexual factors. 
  • During sexual activity, a hymen may be stretched, but not necessarily broken or torn. 
  • Understanding the hymen and debunking myths may help better understand sexual health. 

Introduction 

The hymen is a thin membrane partially covering the vaginal opening. It has been a topic of interest for a long with many wrong ideas surrounding it. People spread false claims that if the hymen is no longer there, it means that a woman is not a virgin anymore.  The hymen’s role is often unclear and may change due to different factors, not always linked to sexual intercourse. 

In this article, we’ll look at what the hymen is made up of, what it does, and correct some false ideas that exist. We will talk about how sexual or non-sexual activities may change the hymen and when you might need to see a gynecologist. All the above should help you get a clearer understanding of this often misunderstood part of the female body. Lastly, we will answer frequently asked questions regarding this topic. 

what is a hymen

Did you know?

  • The hymen can naturally wear away over time due to hormonal changes, physical activity, or tampon use. source: PubMed
  • The hymen can also have less common configurations like sleeve-like, septate, cribiform, micro-perforate, and imperforate. source: ncbi
  • The appearance of the hymen changes with age. source: ncbi
  • The shape, size, and flexibility of the hymen vary significantly across a woman’s lifespan. source: ncbi

Anatomy and Types of Hymen 

 There are various shapes and sizes of hymen, and it’s helpful to understand their differences. The various kinds are as follows. 

1. Circumferential 

Description and specifics 

  •  Most commonly found. 
  • Present around the edge of the vaginal opening. 
  • Space in the middle allows for menstrual blood flow. 

2. Half-moon 

Description and specifics 

  • Also called a crescentic hymen 
  • Forms a half-moon shape on one side of the vaginal opening. 
  • Sizes may change. 

3. Septate 

Description and specifics 

  •  A thin band of tissue runs across the middle of the vaginal opening. 
  • Creates two separate outflows for menstrual blood. 
  • Normal menstrual blood flow, but tampon or menstrual cup use may not be possible. 

4. Imperforate 

Description and specifics 

  • This is a rare condition.  About 1 in 2,000 girls have this type of hymen.  
  • Covers the full vaginal opening, blocking menstrual flow. 
  • Management often includes surgery, such as a hymenectomy. 

5. Microperforate 

Description and specifics 

  • Covers most of the vaginal opening, with only a tiny hole for menstrual blood flow. 
  • Using a tampon or menstrual cup may be tough or impossible. 

6. Cribriform 

Description and specifics 

  • Covers the vaginal opening but has several small holes. 
  • Menstrual blood can flow but using a tampon or menstrual cup is not possible. 

The Biological Function of the Hymen 

Despite what many people claim, the hymen does not have an important biological role. Some think that the hymen may act as a shield for the vagina, but there is little evidence supporting this. In truth, the hymen is more a leftover from when the female foetus was developing before birth than a useful structure. 

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.

Dr Ashish Bajaj – M.B.B.S, M.D. in Clinical Pharmacology and Toxicology

Debunking Common Myths 

There are many faulty ideas about the hymen, leading to wrong thoughts about virginity and sex. It’s key to correct these false ideas for a clear understanding of sexual health. 

1. Association with virginity 

Many people mistakenly think that if the hymen is still present, it means a woman is a virgin. However, this is entirely false. Since hymens may wear down over time or through non-sexual activities, the belief that seeing whether a female is a virgin or not based on the presence of her hymen is misplaced. Moreover, being a virgin is a social concept rather than a medical or physical state. Therefore, the state of a hymen does not decide whether a woman is a virgin or not. 

2. Visibility or feeling of the hymen 

Contrary to some claims, the hymen is not always visible or easy to feel by touching the vaginal area. Due to its thin structure and mix with surrounding tissue, both seeing and feeling the hymen is very difficult. 

3. Hymen thinning over time 

The hymen may naturally become thinner and wear down over time, changing its look and structure. Things like hormone changes, physical exercises, and age may affect this natural process. This process may end with a less clear hymen and this may be totally unrelated to any kind of sexual activity. 

4. Impact of vaginal penetration 

It’s a faulty idea that penetrating the vagina always results in the tearing of the hymen. While it’s possible that penetration may stretch or tear the hymen, it often won’t change its structure in a big way. More than that, things other than sex may also cause changes to the hymen. 

Hymen is a thin piece of tissue located at the opening of the vagina. The hymen needs to be open to allow menstrual blood and normal secretions to exit the vagina. Hymens come in different shapes.

Dr. M.G. Kartheeka – MBBS, MD(Pediatrics)

Other factors that can cause hymen tear 

In a woman’s life, different non-sexual factors may weaken, tear, or change the hymen. These factors include physical exercises like gymnastics, horseback riding, using tampons, and medical pelvic examinations. 

1. Sexual Intercourse and the Hymen 

It is important to understand how sexual intercourse may affect the hymen in order to get rid of any misconceptions.  

2. What happens during sexual intercourse? 

During sex, the hymen may stretch or tear. However, this may not always happen. Factors like the thickness of the hymen, existing openings, and previous wear or tear may all  influence whether or not the hymen tears during sex. 

3. Pain and bleeding, expectations, and reality 

Some people assume that having sexual intercourse for the first time would mean pain and bleeding from the rupture of the hymen.  This is not always true. The thickness and structure of the hymen vary, and in many cases, it may have already changed before the first sexual intercourse. Therefore, the belief that every time someone has sexual intercourse for the first time, their hymen will tear is not correct as mentioned above. 

Tips for first-time sexual experiences 

To possibly ensure that the first sexual experience goes well, consider the following tips. 

  •  Have good communication with your partner. 
  • Take it slow and find out each other’s wants and needs. 
  • Promote ample foreplay to help increase arousal and natural wetness. 
  • Use lube as needed to decrease friction and discomfort.  
  • Try different moves for the best pleasure and comfort. 

Caring for yourself after sexual intercourse 

After sexual intercourse, especially the first time, it’s important to take care of your body. Watch out for any signs of discomfort or problems, such as bleeding, constant pain, or weird discharge. These might point toward an infection or injury, needing medical attention. It is always advisable to communicate with your healthcare professional if any symptom is bothering you following sexual intercourse. 

Non-sexual factors Affecting the Hymen 

As mentioned above there are many non-sexual factors that may change the hymen; they are as follows.  

1. Physical activity and sports 

Tough activities such as biking, gymnastics, horseback riding, and other sports may cause the hymen to stretch or tear with time. Being active may naturally alter the hymen’s structure even before any sexual contact. 

2. Tampons and menstrual cups 

Using tampons or menstrual cups during your period may change the hymen. Even though some might worry about keeping their hymen intact, there’s no need to stop using these products if one is comfortable and convenient during periods. 

3. Medical procedures 

Checkups or procedures like pap smears and vaginal ultrasounds also impact the hymen. These necessary medical procedures put overall health and wellness first, so any changes the hymen may go through are less important. 

When to Seek Medical Help? 

In certain cases, seeking medical help may be necessary to address specific conditions or complications involving the hymen. 

1. Persistent pain after sex 

Feeling pain during or right after sexual intercourse might be normal the first few times, but if this discomfort persists or gets worse, it’s important to speak to a healthcare professional. Such pain could suggest an issue needing medical attention. 

2. Imperforate hymen diagnosis and  management 

An imperforate hymen is a rare type where there is no opening in the hymen. If identified, a medical professional will give advice regarding surgical options that are available like a hymenectomy to make the needed opening to ensure correct menstrual flow and sexual health. 

3. Hymenectomy: purpose and procedure 

A hymenectomy is a surgery done to repair or widen an opening in the hymen. Indicated for conditions like imperforate hymens, microperforate hymens, or hymenal septa, this surgery hopes to ease any related discomfort, pain, or complications resulting from a wrongly structured hymens. 

Conclusion 

Understanding the hymen and its different forms may help eliminate fixed myths and misunderstandings linked to female virginity and sexual intercourse. The numerous variations of the hymen serve as a reminder that everyone’s body is special, and it’s up to each of us to learn and understand our own bodies. Correcting common false ideas not only helps our personal experiences but also builds a healthier talk about sexual health on a bigger scale. 

FAQ (Frequently Asked Questions) 

How do you know if your hymen is still intact? 

Since the hymen may naturally wear down or tear over time and with various activities, it’s appearance alone is not an accurate indicator of virginity or level of sexual activity. Since it is a small piece of tissue finding it during examination is quite hard as well. 

Is it normal for the hymen to be painful or bleed during sex? 

While pain or bleeding may occur when the hymen stretches or tears during sexual activity, this is not always the case. Hymens may naturally change over time and may not result in discomfort during sex. 

Can you see or feel your hymen? 

Usually, it’s almost impossible to see or feel your hymen. Its thin structure and blending with surrounding tissue make finding it tough. 

What are possible complications associated with hymen abnormalities? 

If not fixed, an imperforate hymen or other hymen issues might lead to complications such as infections, fertility issues, and constant pain or discomfort. Medical intervention is often needed to fix these issues. 

Can regular activities, like sports or using tampons, affect the hymen? 

Yes, many regular activities may change the hymen’s structure, including sports and using tampons or menstrual cups. It’s key to focus on overall health and comfort over keeping the hymen, as it doesn’t have an important biological function or moral worth. 

References: 

  1. National Health Service (NHS). What causes a woman to bleed after sex? [Internet]. [cited 2023 Sep 26]. Available from: https://www.nhs.uk/common-health-questions/sexual-health/does-a-woman-always-bleed-when-she-has-sex-for-the-first-time 
  1. National Center for Biotechnology Information (NCBI). The little tissue that couldn’t – dispelling myths about the Hymen’s role in determining sexual history and assault [Internet]. [cited 2023 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6547601 
  1. ScienceDirect. ! There was a problem providing the content you requested [Internet]. [cited 2023 Sep 26]. Available from: https://www.sciencedirect.com/science/article/abs/pii/S0736467919301416 
  1. National Center for Biotechnology Information (NCBI). Virginity testing: a systematic review [Internet]. [cited 2023 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5437416 
  1. PubMed. Mineral oil lubricants cause rapid deterioration of latex condoms [Internet]. [cited 2023 Sep 26]. Available from: https://pubmed.ncbi.nlm.nih.gov/2535978 
  1. National Library of Medicine (NLM). Imperforate hymen [Internet]. [cited 2023 Sep 26]. Available from: https://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000708.htm 
  1. National Center for Biotechnology Information (NCBI). Imperforate Hymen [Internet]. [cited 2023 Sep 26]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560576 

Disclaimer: The information included on this site is for educational purposes only and is not intended to be a substitute for medical treatment by a healthcare professional. Because of unique individual needs, the reader should consult their physician to determine the appropriateness of the information for the reader’s situation.

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