Can you give birth with a hymen?

Vaginal birth During pregnancy, the hymen becomes thick as it fills with glycogen. During vaginal childbirth, the hymenal tissue can sometimes tear, either by stretching to allow for the head of the baby to pass through or with an episiotomy (when the doctor manually cuts the tissue for a larger opening for the baby).

flo.health - Hymen: What It Is and How It Changes Throughout Your Life - Flo Health

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Annular or crescent-shaped hymen

The annular or crescent-shaped hymen is considered to be the most common shape of hymen. The hymen surrounds your vaginal opening like a ring or donut, and then, as it tears or stretches, it appears more like a crescent. If you have an annular or crescent-shaped hymen, it might look slightly different depending on the way your hymen has stretched or torn.

Imperforate hymen

Imperforate hymens are very rare. This is when your hymen completely covers the opening of your vagina (like a seal). This stops your period blood from flowing out of the vagina and can cause pain in your abdomen and pelvis because the blood is trapped there. Research into how many people have an imperforate hymen varies massively. It’s estimated that between 1 in 1,000 people to 1 in 10,000 people have a hymen like this. Keep reading to learn how your health care provider might help if you have an imperforate hymen.

Microperforate hymen

This is when the hymen covers the whole vaginal opening like a seal, except for a tiny hole. Although period blood can exit the vagina, it can be more difficult, and because of this you may have longer periods. It might also be tricky and painful to insert a tampon or other items.

Septate hymen

Septate hymens have tissue running around the edge of the vaginal opening and an extra piece of tissue running down the middle of it — almost like a piece of string — creating two smaller vaginal openings instead of one. Again, people with this kind of hymen can have issues inserting or removing a tampon. Having penetrative sex may tear this extra tissue away.

Cribriform hymen

This is where the hymen has lots of small holes in it , which may mean it’s difficult to insert a tampon. It may also mean that it takes longer for your menstrual blood to leave your body, leading to longer periods.

How might your hymen change?

When you’re born, your health care provider may check your hymen to see if you might need surgery to remove tissue. However, it isn’t always easy to see if you have an imperforate, microperforated, cribriform, or septate hymen when you’re so young. You might receive a diagnosis much later, during puberty, once your period has started and you’ve struggled to insert a tampon or your periods are particularly long or painful. The surgery is called a hymenectomy . Your health care provider might recommend this if you struggle to insert a tampon or if the shape of your hymen means it’s hard for period blood to leave your body.

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However, most people will never even know their hymen is there. And It doesn’t stay the same, either. Your hymen actually changes as you grow up : Your hymen when you’re born: When you’re born, your hymen might appear thicker and more fleshy. It can be more rigid and sensitive. Once you start puberty, your ovaries start to produce the hormone estrogen . This can trigger your hymen tissue to become stretchier. Your hymen and virginity loss: The big question. Does your hymen break when you have penetrative sex for the first time? It’s true that for some, the hymen can stretch or tear when you first start having penetrative sex. But this isn’t the case for everyone. The hymen can tear or stretch in lots of ways (we’ll cover that below). Your hymen during pregnancy and after vaginal birth: Like during puberty, as your estrogen levels increase during pregnancy , the tissue that makes up your hymen may become even more elastic to allow for childbirth. Your hymen can stretch and tear more during birth as the baby passes out of the vagina. “The stretches go back to (almost) normal postpartum, but the tears in the hymen do not heal back together,” says Dr. Twogood.

What happens when the hymen breaks?

“Breaking” and “popping” are words often used when people are talking about hymens. One minute it completely seals the opening to your vagina, and the next, it’s pierced and there’s a hole. But the hymen doesn’t actually “break” in this way. And as we know, most hymens don’t totally seal your vagina. Instead, think of your hymen as a ring that is stretched and sometimes tears over time as things rub against it or enter the vagina. You might experience a little bit of pain or spotting (light bleeding) when this happens, but you might not even notice it happening at all.

flo.health - Hymen: What It Is and How It Changes Throughout Your Life - Flo Health

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