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Re: Imperforate / Cribiform hymen From: Kokumo Oyakhire (koyakhire@yahoo.co.uk) Tue Aug 1 11:47:53 2006 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: johnprov@sympatico.com: "Re: staples at C/S" Previous message: Kokumo Oyakhire: "Re: Imperforate / Cribiform hymen" In reply to: Joe Cutchin: "Re: Imperforate / Cribiform hymen" Next in thread: Joanne Bulley, MD: "Re: Imperforate / Cribiform hymen" In communities where great premium is placed on "the intact hymen", excision was hard to sell to my client (patient and/or mother). The mother opted for the "sanitary pad". Management should therefore be tailored to the acceptable values of the community in which we practice. George K Oyakhire koyakhire@yahoo.co.uk Joe Cutchin <forcep@intercom.net> wrote: 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 > Next message: johnprov@sympatico.com: "Re: staples at C/S" Previous message: Kokumo Oyakhire: "Re: Imperforate / Cribiform hymen" In reply to: Joe Cutchin: "Re: Imperforate / Cribiform hymen" Next in thread: Joanne Bulley, MD: "Re: Imperforate / Cribiform hymen"

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