Re: Imperforate / Cribiform hymen

From: Larry Glazerman (l.glazerman@rcn.com)
Tue Aug 1 20:44:26 2006


I've done the same thing as well. Rarely!

On Aug 1, 2006, at 11:35 AM, Garry E. Siegel, M.D. wrote:

> Yes, a couple. What you've described is what I know and what I did,
> too.
>
> Garry
>
> At Tue, 1 Aug 2006, 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
>>
>
> --
> Garry E. Siegel, M.D.
> Private Practice
> Roswell, GA





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