Advanced Hymenoplasty Surgery​ in Hyderabad, India

Indications of Hymenoplasty (Hymenorrhaphy) Surgery

Hymenoplasty is controversial and considered to be a socio-cultural surgery and has no medical indications. However, it may be sought for both cultural and cosmetic reasons as well as for certain medical conditions:

• Cultural or Religious Expectations: Cultural or religious expectations are a common reason for seeking Hymenoplasty. Some experts have stated that there is "no valid scientific indication" for this procedure and that it is performed primarily for cultural indications. In some religions and cultures, an intact hymen is associated with virginity and purity. Hence, women may choose Hymenoplasty to conform to these expectations, often in preparation for marriage or to avoid social stigma. 

• Psychological concern: Some women may experience psychological distress related to the loss of virginity or fear of judgment. Hymenoplasty can help address these concerns and restore confidence.

• Trauma or Injury: Women who have suffered injuries that have led to the tearing of the hymen may opt for Hymenoplasty for emotional or aesthetic reasons.

Other reasons:

• To deal with the stigma attached to a broken hymen after sexual assault

• Some women may seek Hymenoplasty for personal reasons, wishing to restore the appearance of their hymen without any external societal pressures.



• To feel like a "virgin" again and enhance sexual pleasure
  

Contraindications for Hymenoplasty (Hymenorrhaphy) Surgery

While Hymenoplasty is considered a safe procedure, it may not suit everyone. The following are contraindications for Hymenoplasty:

• Confusion with vaginal tightening procedures: It is not suggested for women who have a mistaken belief that Hymenoplasty is the same as procedures aimed at tightening the vaginal walls, which have different purposes and techniques.
• Active vulvovaginal infections: Individuals with active infections, such as vaginal or pelvic infections, should not undergo Hymenoplasty until the infection is fully treated.
• Active vulvovaginal inflammatory conditions: Patients being treated for active vulvovaginal inflammatory conditions, including vulvovaginitis, vulvitis, vulvar intraepithelial neoplasia (VIN), and pelvic inflammatory disease (PID), should not choose Hymenoplasty until the inflammatory condition is fully treated.
• Unrealistic Expectations: Those with unrealistic expectations (like - expectations for an "idealised" hymen with a circular aperture in the centre of a diaphragm) regarding the outcomes of Hymenoplasty may be advised against the procedure. 
• Coagulopathy: This condition impairs the blood's ability to clot, resulting in excessive bleeding or clotting.

Other contraindications include:

• Smoking
  

Hymenoplasty can offer several benefits, including:

• Restoring the hymen: The hymenoplasty technique can help restore the hymen to its original state.

• Cultural Fulfilment: Hymenoplasty can help meet cultural or religious expectations, where the presence of an intact hymen is often linked with virginity and purity.

• Confidence boost: It can improve self-esteem and confidence by restoring a sense of physical integrity. 

• Psychological Relief: For many women, restoring the appearance of the hymen can bring a sense of emotional and psychological closure, especially if the loss of the hymen occurred due to trauma or unwanted circumstances.



• Faster Recovery and Minimal Scarring: The procedure is minimally invasive and often performed under local anaesthesia, with quick recovery times and minimal scarring if when performed correctly.
  

Before undergoing Hymenoplasty, a plastic surgeon checks the eligibility of a woman by considering the following:

• Medical history: The plastic surgeon reviews the patient's medical history, including any gynaecological conditions, past surgeries, and overall health, to ensure that the woman presented is a good candidate for the procedure.

• Medical conditions: Women with severe medical conditions, such as active infections, genital cancer or venereal diseases, may not be eligible.

• Overall health: A comprehensive assessment of overall health is conducted to ensure the patient is fit for surgery

• Age: Age is considered to determine the suitability of the procedure.

Realistic expectations: Plastic surgeons consider that presents with realistic expectations and has enough tissue to approximation are ideal candidate for elective Hymenoplasty. For example, the procedure may increase the chances of bleeding during the first sexual intercourse after surgery, but it doesn't guarantee it.

Hymenoplasty types: Based on the information provided, the surgeon decides the appropriate Hymenoplasty suitable for the patient.

Risks and benefits: After reviewing the patient's medical history, expectations and concerns, the surgeon discusses the procedure types, risks, outcomes, and alternatives. Hymenal morphology varies greatly among individuals and changes throughout the stages of life (childhood, puberty and menopause). Only 50% of women will bleed during their first sexual intercourse.

Providing women and men with knowledge on vulvar anatomy and sexual and reproductive health can promote the abandonment of specific cultural practices and beliefs that are harmful to physical and mental health. It also fosters a supportive and non-judgmental environment where individuals can express their concerns, explore their motivations, and gain a proper understanding of the impacts of their decision.

Preparation for hymenoplasty (Before Hymenoplasty)

The following are some of the steps that can be done before performing surgery, including:

• Preoperative Tests: Preoperative tests for Hymenoplasty, such as a physical exam, blood tests, etc are recommended by the surgeons based on the patient's condition, to examine the patient's overall health and ensure safe surgery.

• Lifestyle adjustments: Patients might be advised to quit smoking if they are smokers to promote healing and reduce complications.

• Stop using birth control: Patients are instructed to discontinue the use of birth control methods at least a few days before the scheduled surgery. However, taking advice from a gynaecologist in this regard is necessary.

• Disclose medications: Patients must inform the surgeon about all their medicines, including blood thinners, non-steroidal anti-inflammatory drugs (NSAIDs), and some antidepressants. Certain medications make it harder for blood to clot and could prolong bleeding during the surgery.

• Disclose allergies: A history of allergies, asthma, or atopy can raise the risk of life-threatening hypersensitivity reactions during surgery. Hence, it is recommended that patients disclose any allergies or medications they are taking to their surgeon before surgery.

• Psychological Evaluation: In certain instances, a psychological evaluation may be suggested to evaluate the patients’ reasons for seeking surgery.

• Informed consent: Patients should be informed about the procedure and thoroughly review the risks, alternatives, and benefits consistent with the principles of informed consent. However, ultimately, the decision to undergo hymenoplasty is entirely a patients’ choice. The patient must provide informed consent before proceeding.