Hymenotomy

Information

The hymen is a mucosal fold that partially covers the vaginal opening. Despite the many cultural and religious myths surrounding it, its physiological purpose is simple: it acts as a natural barrier that offers some protection against microorganisms entering the body. The hymen varies in shape from woman to woman, and in most women before their first sexual experience it has a small opening that allows menstrual blood to flow out. During sexual intercourse, and sometimes also during masturbation, tampon use or physical activity, the hymen is naturally disrupted, and most women can continue their sexual lives without any difficulty. In some cases, however, a surgical procedure called a hymenotomy is needed to address or remove the hymen.

When is a hymenotomy needed?

The most common reason for a hymenotomy is discomfort during sexual activity. A hymen that is particularly thick with a very small opening, or one that forms a band or bands across the vaginal opening, can make penetration painful or impossible. A hymen that is very elastic and stretches without breaking can cause the same problem. In these situations, a hymenotomy can make a real difference. Some women choose the procedure proactively, to avoid pain during their first sexual experience. In rare cases, the opening in the hymen is too small to allow menstrual blood to flow freely, and surgical intervention then becomes a medical necessity.

How is a hymenotomy performed?

A hymenotomy is a straightforward outpatient procedure. It always begins with a consultation, during which the gynaecologist reviews your medical history and recommends the most appropriate approach. The procedure itself starts with disinfection of the hymen and surrounding area, followed by local anaesthesia. We also offer complementary inhaled analgesia using Entonox, a mixture of medical nitrous oxide and oxygen, which has a relaxing and calming effect.

The doctor then makes the necessary incisions, depending on whether the hymen needs to be partially opened or fully removed. Any remaining tissue is closed with dissolvable sutures. After the procedure and a short rest at the clinic, you are free to go home. Recovery is straightforward and with proper hygiene, full healing can be expected within two weeks.

Complete discretion

Difficulties related to the hymen, whether in your sexual life or affecting your health, are deeply personal, and it is entirely understandable to feel hesitant about discussing them, even with a gynaecologist. Every member of our team upholds an absolute commitment to discretion, and our doctors are experienced professionals who know how to approach sensitive topics with care and without judgement. You are welcome to come to us with a referral or diagnosis from another facility. We will provide you with all the comfort and advantages of a fully equipped private clinic.