Hymenal Stenosis

Introduction

• Description: Hymenal stenosis is the thickening or narrowing of the hymenal opening, resulting in difficulty with tampon use and intercourse.

• Prevalence: Uncommon.

• Predominant Age: Congenital, although generally diagnosed in the early reproductive years.

• Genetics: No genetic pattern.

Etiology and Pathogenesis

• Causes: Congenital narrowing of the hymen or scarring after trauma or surgery (eg, previous excision, trauma).

• Risk Factors: Introital surgery (for iatrogenic cases).

Signs and Symptoms

• Insertional dyspareunia

• Difficulty with tampon use

• Narrowing of the vaginal introitus

Diagnostic Approach