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Hymen; It is an organ with a thickness of 2 to 5 millimeters, formed by the folding and ending of the outer part of the vaginal mucosa, which is located approximately 1 to 1.5 cm inside the external genital organs, the small lips, which we call the labia minus. This skin fold at the entrance to the vagina is a semi-flexible, thin structure containing one or more holes, most commonly with a small hole in the middle that allows menstrual blood and vaginal secretions to flow.
Hymen bleeding: first night bleeding
Apart from sexual intercourse, the hymen may tear and bleed due to heavy sports, cycling, trauma, or any foreign object or manual force. Most often, it occurs in the form of a few drops of bleeding. Rarely, in extreme relationships, there is no bleeding. Only a gynecologist or forensic medicine specialist can check the hymen. A person cannot control his own hymen. Does first night bleeding always occur? First night bleeding may sometimes be absent in 10 to 15% of cases. If the gap (hole) in the middle of the hymen is wide enough to allow the passage of the penis or if it has the structure we call semilunar membrane and is flexible, there may be no bleeding during the first night.How is hymen stitching done?
1-Short-term repairs: These are repairs made 2 to 3 days before sexual intercourse. The two edges of the torn membrane are incised for living tissue and the torn pieces are stitched together in the form of spindles by sewing them with special sutures that absorb in a short time. After 2 to 3 days, during sexual intercourse, bleeding occurs when the interconnected area is forced.
2- Long-term (permanent type) repair (flap shifting): Permanent type hymen repair is performed in case of large tears that are severely fragmented or if sexual intercourse is planned after at least 4 weeks. In this operation, the vaginal mucosa is shifted with a special technique and a new hymen is made to replace the torn areas. In permanent type hymen repair; The patient's own vaginal mucosa is used. The stitches made in this procedure self-absorb (dissolve) for at least 4 weeks. It is necessary to start the first sexual intercourse 1 month after the operation. This method is permanent and bleeding occurs even after a few years of intercourse. Is there always bleeding after hymen repair? Proper and respectful of texture; If it is done with sterile work and good technique, there will always be bleeding. However, if there is an infection, if it is not done with a good technique, and if there is strain in the few days after the operation, there may rarely be bleeding. In this regard, to follow the doctor's recommendations, use the medications he prescribes and if he has any questions; It should always be shared with your doctor.