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Hymenoplasty / Hymenectomy

The hymen is a thin membrane of tissue that partially covers the opening to the vagina. It is typically torn during a woman’s first experience with sexual intercourse, but in some cases, tampon use or vigorous exercise can also break the hymen without the woman knowing. While a torn hymen may not seem like an issue for some women, in certain cultures, an intact hymen is a sign of purity and virginity. If the hymen has been broken, the woman may not be accepted as a virgin, negatively affecting her reputation and marriage prospects, as well as her standing in her community.

At the other end of the spectrum, some women have a hymen that is difficult to break, making intercourse or tampon insertion painful or impossible. In some cases, the hymen may impede the flow of menstrual blood from leaving the vagina, causing potentially serious health problems. At Cosmetic Gynecology and Aesthetics, we are a practice OF women, FOR women. We understand that issues around female sexual health can be sensitive subjects, and that many women are often reluctant to seek help. That’s why we do our best to ensure you are completely comfortable asking us the important questions and choosing the correct procedure for you. We offer both hymenoplasty (hymen restoration) and hymenectomy (hymen removal) surgeries, and our caring, experienced staff are dedicated to making sure that your experience with us is as painless as possible – in every way.


Hymenoplasty is a simple surgical procedure designed to reconstruct the hymen, restoring it to what some refer to as its “pre-sexual” state. Again, while the hymen does usually tear during first-time sex, there are other ways in which it can be torn. Some of the reasons for a woman to seek hymen reconstruction surgery may include:

  • Social, cultural or religious reasons – Some cultures view an intact hymen as a sign of chastity in a woman. But again, sex is not the only thing that can tear a hymen, and so to preserve her reputation, a woman may wish to undergo hymen reconstruction.
  • Healing after trauma – If a woman is a victim of sexual abuse, she may wish to undergo hymen reconstruction as a way to physically repair the psychological effects of those events.
  • Revirgination – Some women choose to undergo hymen reconstruction as a gift or sign of commitment to a husband or partner.
  • Increased sexual sensation – After childbirth, vaginal muscles tend to loosen and weaken. Hymenoplasty can tighten these muscles and increase sensation during intercourse.

Whatever your reason may be for choosing hymen reconstruction surgery, we treat each of our patients with care and compassion, alleviating any fears you may have, and helping you to regain a sense of confidence and control over your sexuality.

Hymen restoration surgery is an outpatient procedure that can be performed right in our office, and typically takes under an hour to complete. After administering local anesthesia, your surgeon will trim away any ragged edges of the existing hymen, and any tissue that remains will be stitched together using dissolvable sutures. If no hymen exists, or if there isn’t enough skin left to restore it, your surgeon may use some of your thin vaginal skin to create a new hymen.

While you will be able to resume your normal activities within a few days, you will need to refrain from strenuous activities, as well as tampon use and sexual intercourse for at least six weeks following your procedure. Once you are completely healed, it is impossible to tell the difference between a reconstructed hymen and a natural one.


Also known as hymenotomy, this surgical procedure is performed in order to remove part or all of a woman’s hymen. The membrane of the hymen can be thin or thick, rigid or flexible. For some women, the thick and rigid tissue can cause several problems, including blocking menstrual flow, and making intercourse painful or impossible. Most hymen conditions are congenital, and may not be detected until after puberty, including:

  • Imperforate hymen – In this condition, the entire opening of the vagina is covered by the hymen, and is usually discovered once a young girl starts her period and her menstrual flow is blocked. During surgery, a small hole is made in the hymen to allow blood to flow out. Otherwise, blocked menstrual blood that builds up in the vagina can cause serious health issues.
  • Microperforate hymen – In this case, the hymen has one or more very small holes, large enough to allow for adequate blood flow, but not large enough for a tampon.
  • Septate hymen – This condition is marked by a hymen where the tissue is separated into ropy bands. This inhibits any penetration, and because of the rigidity of the tissue, may require surgical repair.

In some cases, the membrane of the hymen may just be too stiff, and surgical intervention is required to make intercourse or tampon use more comfortable.

If you choose to undergo a hymenectomy, it is an outpatient procedure performed in our office. Local anesthesia is administered, and your surgeon will trim away all or part of the hymen, depending on what you had discussed beforehand. Recovery is generally quick, and there is no required downtime after the procedure, and though you may initially experience pain or cramping, these are temporary and will resolve on their own.

If you are looking to restore your hymen or are struggling with pain or discomfort because of your hymen, call Cosmetic Gynecology and Aesthetics today at 904-384-8023 to schedule a consultation. We understand that this is a sensitive subject, and our experienced team will put you at ease while improving your life.

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