Hymen Imperforate

　　The cause of hymen imperforate is due to the vigorous development of the hymen fold, with the epithelium of the urogenital sinus unable to penetrate the vestibule. Hymen imperforate is usually found after menarche. If the uterus and vagina develop normally, menstrual blood accumulates in the vagina after menarche, and then extends to the uterus, forming vaginal-uterine hematosis. Excessive accumulation can flow into the fallopian tube, enter the abdomen through the fimbria, and cause edema and adhesion of the peritoneum near the fimbria, leading to the closure of the fimbria of the fallopian tube, forming hematosis of the vagina, uterus, and fallopian tube.

　　In addition to general symptoms, hymen imperforate can also cause other diseases. In severe cases, symptoms such as constipation, frequent urination or urinary retention, anal distension, and constipation may occur. Therefore, once discovered, active treatment should be sought, and preventive measures should also be taken in daily life.

　　The prevention principles of hymen imperforate are: early detection and early treatment. The patient's diet should be light, easy to digest, with an emphasis on vegetables and fruits, and a reasonable dietary arrangement, ensuring sufficient nutrition. In addition, patients should avoid spicy, greasy, and cold foods.

　　The clinical examination of hymen imperforate can show an protruding and swollen hymen, with a purple-blue color behind it (due to menstrual blood stasis), and palpable tenderness in the lower abdomen with a palpable mass. During rectal examination, a mass that is tender, tense, and pressing towards the rectum can be felt. To exclude other female reproductive system developmental anomalies and other urinary system developmental abnormalities, gynecological ultrasound and pelvic magnetic resonance imaging can be performed.

　　Hymen imperforationTherapeutic Diet:

　　Black bean red flower sugar recipe: 50 grams of black beans, 6 grams of safflower, 30 grams of brown sugar, the first two ingredients are first decocted, and then brown sugar is added, taken hot. The diet of patients in daily life should be light, easy to digest, eat more vegetables and fruits, rationally match the diet, and pay attention to adequate nutrition. In addition, patients should also pay attention to avoiding spicy, greasy, cold foods.

　　Hymen imperforation is mainly treated by surgery, specifically as follows:
　　During surgical resection, take the small hole as the center, make an 'x' incision around until the vaginal wall. The septum is thin, and the excess septum tissue can be resected in a ring shape. The two layers of mucosa at the incision are slightly freed from the base, and sutured longitudinally to make the suture edge serrated, not on the same plane, to prevent the appearance of ring stenosis in the future. If the septum is thick, an 'x' incision should be made on the outer mucosal surface first, with a depth of half the thickness of the septum. The mucosal flaps are separated, and then the inner layer is incised in a cross shape, and the four mucosal flaps outside are interlocked and sutured together, so that after healing, there will not be narrowing due to scar contraction. After that, if pregnancy and delivery often cannot proceed smoothly, cesarean section is often needed to end delivery.
　　If symptoms are found during menstruation, emergency surgical treatment should be performed to release menstrual blood. Treatment should not be delayed, as this may cause uterine cavity hematomas, or even fallopian tube hematomas. The hymen is incised in the form of an 'x' under local anesthesia, the menstrual blood is released, excess mucosa is trimmed, and the hymen is made into a ring shape, careful not to damage the urethral orifice. The retained menstrual blood should be drained as much as possible and the incision kept open to prevent secondary infection. Bimanual examination should not be performed during the operation to avoid increasing the chance of infection and retrograde menstrual blood or rupture of the fallopian tube hematoma.
　　After the operation, apply antibiotics, keep the perineum clean, consume semi-liquid food for 3-5 days, reduce the frequency of bowel movements to prevent contamination of the wound.
　　The treatment of this disease should pay attention to the following principles:
　　1. Surgical treatment, after diagnosis, the hymen should be incised early.
　　2. Anti-inflammatory treatment.
　　3. A thicker hymen may require triangular resection and suture of the edges, and a vaginal model may be placed to ensure complete healing of the wound if necessary.