#Hymenal skin tags skin

NB: As should be noted with all things deemed 'normal,' the vagina, and its parts, including hymens and their rings, likely have incredible variation, and beauty. If the hymenal edges are smooth and without interruption in the inferior half, the hymen is probably normal.' Bates' Guide to Physical Examination and History Taking, p. The hymenal ring, and tags present at the site, should be differentiated from 'normal configurations of the hymen,' which may include 'mounds, notches, and tags. Each of the six quantification points are assigned in relation to the hymenal ring as the stationary vaginal landmark. The hymenal ring is used as a landmark in assess pelvic organ prolapse (POP), in the most-often used Pelvic Organ Prolapse-Quantification (POP-Q) method. not creating sexual problems by placing stitches in the hymenal ring. The third section, 'Principles and Thoughts About Episiotomy and Laceration Repair': 'Good functional results also include not creating functional problems during the process of repair, for example. In this section, a rationale for the oblique angle of the speculum is provided, but no detail is given as to why 'past the hymenal ring' is advised. The second in the section 'Procedure for Speculum Examination': 'Insert the speculum into the vagina at an oblique angle past the hymenal ring' (p. The first, 'Inspection of the External Genitalia': 'Inspect the vaginal introitus for (1) the hymen or its remnants (myrtiform caruncles), an intact hymen is normal unless tight and rigid or imperforate myrtiform caruncles are also normal (p. I found discussion of the hymenal ring in three sections. Varney's Midwifery does not have the word 'hymen', in the glossary. 'Remnants of the hymen are referred to as carunculae myrtiformes, or hymenales but are most commonly referred to as hymenal tags.' Healing Passage, Anne Frye, p. Hymen comes from the Greek word hymen, meaning membrane. Thus, I went searching for more information. Someone with vulvodynia, specifically with pain around the area of the hymenal ringĭiscomfort with the speculum exam, for multiple people only to the point of the hymenal ring, and a prior preceptor who regularly encouraged spending as little time as possible applying pressure to the area of the hymenal ring during speculum and bimanual examsĭyspareunia and concern about 'tags' in the vagina causing pain during sexĪ recent assessment of bladder prolapse, the degree of which was measured by proximity to, or passing of, the hymenal ringĬonsequently, I have had many questions about the remnants of tissue left from the hymen, and what the research has to say.

#Hymenal skin tags skin

Notable tension during fetal head descent and crowning specifically at the hymenal ring, with vaginal tissue and skin around the introitus without the same tension

The following clinical scenarios occurred recently that have led me to ponder the hymenal ring: 'It consists of tags of firm, fibrous scar tissue on either side.'Īs the hymen itself may have been 'located just inside the introitus at a depth that varies between 0.5 to 2cm,' so such is also the location of the remaining hymenal ring. The one-sentence description I found of the hymenal ring?

The pieces that remain are referred to as the hymenal tags, and the original positioning is referred to as the hymenal ring. If a hymen is present, when the hymen breaks, which may or may not happen, it may break during physical activity, exercise, internal menstrual product use, masturbation, or sexual activity.