Re: Imperforate / Cribiform hymen

From: Joe Cutchin (forcep@intercom.net)
Tue Aug 1 09:04:27 2006


Joanne: I'm having alittle difficulty understanding the problem. Thanks. Joe C

Joanne Bulley, MD wrote: > We each see this only rarely - so I thought I would see what you are
> doing now (as opposed to years ago)
>
> 15 yo - first menses last week, tried to use a tampon, no opening found.
> Mom is a nurse and daughter asked for help. Mom noted the absence of
> vaginal opening. Swa PCP then saw me.
>
> Menarche age appropriate to the onset of thelarche and adrenarche. NO
> history to suggest obstructed menstruation prior to this.
>
> Exam - no visible opening, but she did have menses and used pads.
>
> The "old" techique of hymenectomy was cruciate incisions - at 2/4/8/10
> and excise the triangles of hymen created by that and suture with very
> fine suture (eg vicryl)
>
> What has anybody done in the last 5 years?
>
> --
> Joanne Bulley, MD
> Keene, NH, USA
>





use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Thu Oct 2 04:54:12 2008

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.