Post Date November, 16 2024
During adolescence, as the ovaries develop, the body's estrogen levels increase, leading to an increase in vaginal resistance and a gradual loss of function in the hymen. Physiologically speaking, after a woman matures, her monthly menstrual blood will be expelled from the body through this small hole. If there is no small hole on the membrane, the menstrual blood during the month will be blocked and cannot be expelled from the body, which is medically known as hymen atresia. Female hymen atresia is a manifestation of abnormal hymen in women, which poses a great threat to women's health. After detection, timely and reasonable treatment is necessary, and surgery is the best treatment method. The cause of hymen atresia. The hymen is a circular membrane covering the outer opening of the vagina with a small hole in the middle. Sometimes there are no small pores on the hymen, which is called female hymen atresia in medicine. It is caused by the incomplete penetration of the urinary and reproductive systems during embryonic development. 2. The reason why the vaginal opening cannot connect with the external vestibule is because there are too many lower boundary points for the proliferation of the reproductive tract epithelium, which is the vigorous development of the hymen folds. Diagnosis can be made by puncturing the swelling of the hymen and extracting brown or black red blood. The harm of hymen atresia. If there is no symptom response in the early stage of hymen atresia, periodic pain in the lower abdomen will only occur during female adolescence, especially when menarche strikes. This symptom is similar to the symptoms of dysmenorrhea, but this lower abdominal pain is not severe in the short period after menarche. Dysmenorrhea is a long-term untreated symptom of hymen atresia, similar to normal menstruation, but not limited to specific areas. It can manifest as multi site dysmenorrhea, and the number of painful areas will gradually increase, leading to worsening symptoms. Endometriosis: Endometriosis is a serious complication of hymen atresia that cannot be treated in a timely manner. The cause of endometriosis is the closure of the hymen opening, which prevents the discharge of menstrual blood and accumulates in the vagina. Year after year, the accumulation of blood in the vagina can cause the top of the uterus, or even "backflow" through the cervix into the uterine and fallopian tube cavities, causing the blood to accumulate in the uterine and fallopian tube cavities and eventually return to the abdominal cavity. Infertility is the most serious harm and complication of hymen atresia. Firstly, hymen atresia itself cannot discharge normal menstrual blood, let alone have sex, so infertility is a very normal phenomenon. In addition, after the treatment of hymen atresia, although both menstrual blood and male sperm have entry and exit channels, due to the continuous damage of accumulated menstrual blood to the uterus and fallopian tubes, these two important reproductive organs have temporarily lost their role in fertilization and pregnancy. Therefore, the harm of hymen atresia to infertility is also natural. Apply treatment for hymen atresia. （1） Western medicine treatment: 1. Surgical treatment: Surgical removal of the hymen during adolescence is better, as the production of estrogen can promote the healing of the external genitalia. The newborn girl, if without any symptoms, can not be treated temporarily, but if there is vaginal secretion retention, the hymen should be cut. The surgical procedures for hymen atresia include: (1) Abdominal compression: During surgical removal, pressure can be applied to the abdomen to make the protrusion more prominent and easy to operate. (2) Aspiration of accumulated blood can be localized using a thick needle puncture, and then a small incision can be made with an electric knife to attract bleeding. (3) Hymenotomy: Hymenotomy is usually performed in an X-shaped shape, and experts also make circular or elliptical incisions. During the surgery, an X-shaped incision is made around the vagina until the vaginal wall is thin and the excess tissue of the diaphragm is removed in a circular shape. The two layers of mucosa of the incision are slightly detached from the base to form a longitudinal suture, making the suture edge serrated and avoiding the occurrence of circular stenosis in the future. If the diaphragm is thick, it should be cut open on the outer mucosal surface first, with a depth of 1/2 of the thickness of the diaphragm. The mucosal flap should be separated, and then the inner layer should be cut horizontally into a cross shape. The inner and outer four pairs of mucosal flaps should be interlocked and sutured to avoid narrowing due to contracture. Later on, pregnancy and childbirth often cannot proceed smoothly, and a cesarean section is needed to terminate the delivery. 2. Medication treatment: In principle, after hymen closure, the hymen should be surgically opened as soon as possible. If surgery needs to be postponed, medication can be used to suppress the menstrual cycle and provide analgesic treatment. （2） Traditional Chinese medicine treatment: Traditional Chinese medicine is supplemented with promoting blood circulation and resolving blood stasis after surgery. Clinical diagnosis and treatment are based on the differentiation of symptoms and signs of hymen atresia with qi stagnation and blood stasis, as well as liver and kidney deficiency. 1. Hymenorrhea with Qi stagnation and blood stasis type: (1) Symptoms: After hymen surgery, the vagina bleeds continuously for a long time, in large amounts, with dull and lumpy colors, abdominal pain, refusal to press, and chest and abdominal pain; (2) Tongue coating: There are petechiae on the tip of the tongue edge, and the pulse is heavy and stringy. (3) Treatment method: Remove blood stasis and stop bleeding. (4) Prescriptions: Stir fried cattail, motherwort, Panax notoginseng powder, neem, biochemical soup, etc. 2. The types of liver and kidney deficiency in hymen atresia include: (1) Clinical manifestations: postoperative vaginal bleeding is more or less, pale in color, clear and thin in texture, dull pain in the lower abdomen, likes to press and warm, sore waist and legs, dizziness and tinnitus, and clear and long urine; Tongue pulse: Tongue light, less coating, and pulse sinking. (3) Treatment method: tonifying the kidney and nourishing blood, regulating the liver and relieving pain. (4) Tiaogan Tang with Chuanduan, Parasitic, Xiangfu, Licorice, etc. Postoperative precautions for imperforate hymen. 1. Postoperative Postoperative Postoperative Postoperative Postoperative Postoperative Postoperative Prevention of Hymen Atresia, usually in a head high and foot low or semi lying position, which is conducive to the discharge of accumulated blood. After 12 hours, get out of bed and move around. Vulvar care: Generally, there is no urine retention or retention for 1-2 days; Postoperative prevention of imperforate hymen: Rub the external genitalia twice a day until all accumulated blood is discharged; The correct method of using disinfectant sanitary pads is to avoid contamination of the pads. After surgery for imperforate hymen, if women encounter abnormalities, they often show fear and fear, so postoperative care for imperforate hymen cannot be ignored. Postoperative prevention of hymen atresia requires family members to clarify the patient's condition, communicate more with the patient, and reduce their nervousness. If not detected in a timely manner, menstrual blood accumulates in the vagina and can extend upwards to the uterine cavity and fallopian tubes in adulthood, flowing into the abdominal cavity through the distal opening of the fallopian tubes, causing rupture of the fallopian tubes, intestinal adhesions, and abdominal infections. Discharge guidance: Medical staff should learn how to keep the external genitalia clean and dry; Go to the outpatient clinic to review the wound healing status one month later; Postoperative prevention of hymen atresia should pay attention to whether the menstrual blood is unobstructed during the next menstrual cycle. If symptoms such as lower abdominal pain and anal prolapse still occur, timely medical attention should be sought.
