Repair of Microperforate Hymen

Subocclusive variants of the hymen are a group of hymenal anomalies that result due to a failure of canalization of the urogenital sinus. One of these variations is the microperforate hymen, for which accurate incidence is unknown. Microperforate hymen is a non-obstructing variation that allows for menstrual egress, and often, patients present due to inability to use a tampon. The recommended intervention for this congenital variant is surgical correction. The purpose of this case report is to provide a video demonstration of a surgical technique for correction of hymenal anatomy.

We present the case of an 18-year-old female-identifying nulligravid who presented with inability to use a tampon secondary to a microperforate hymen.

This case reviews the diagnostic workup and a video demonstration of the surgical technique for hymenal correction.