From the Guidelines
A hymen remnant refers to the remaining tissue of the hymen after it has been partially broken or torn, which is a normal anatomical variation that does not indicate anything about a person's sexual history or health status. The hymen is a thin membrane that partially covers the opening of the vagina and is typically present from birth, naturally varying in shape and size among individuals 1. When the hymen tears, which can occur during various activities including sexual intercourse, tampon use, physical exercise, or medical examinations, portions of the tissue may remain around the vaginal opening. These remnants are completely normal and typically appear as small tags or bumps of tissue. Some key points to consider about hymen remnants include:
- They are not medically concerning and require no treatment unless they cause discomfort or pain during intercourse or tampon insertion
- In rare cases where remnants cause symptoms, a healthcare provider might recommend a minor surgical procedure to remove the excess tissue
- The presence of hymen remnants is a normal anatomical variation and does not indicate anything about a person's sexual history or health status, as emphasized by the American Academy of Pediatrics in their clinical report on gynecologic examination for adolescents in the pediatric office setting 1. It is essential to note that any lesions, including papules, vesicles, pustules, ulcers, fissures, and warts, should be evaluated to rule out sexually transmitted infections (STIs) or other dermatologic conditions, as discussed in the clinical report 1. However, hymen remnants themselves are not a cause for concern and do not require further evaluation unless accompanied by other symptoms.
From the Research
Definition of Hymenal Remnant
A hymenal remnant, also known as a hymen remnant, refers to a piece of tissue that remains after the hymen has been torn or ruptured.
Characteristics of Hymenal Remnants
- Hymenal remnants can vary in size and shape, and may be found in different locations around the vaginal entrance 2.
- In some cases, hymenal remnants may be used as a basis for reconstructing a new hymen, as described in a study on surgical revirgination 2.
- Hymenal remnants may also be associated with other gynecological conditions, such as imperforate hymen, which can cause symptoms such as pelvic pain and hematocolpos 3, 4, 5.
Clinical Significance of Hymenal Remnants
- Hymenal remnants may be clinically significant in certain situations, such as when they cause symptoms or interfere with vaginal function 4, 5.
- In some cases, surgical intervention may be necessary to remove or repair hymenal remnants, particularly if they are causing symptoms or complications 4, 5.
- The management of hymenal remnants should be individualized and based on the specific needs and circumstances of each patient 4, 5.