![]() ![]() It is also essential to evaluate the hymen and the presence of a discharge from the vagina (fluor neonatalis). The gynecologist assesses the appearance of the vulva, the size and color of labia minora and majora, the introitus of the vagina, the color of the mucous membrane, and the size of the clitoris. Knowledge of normal prepubertal anatomy and the use of an accurate terminology are essential for describing and documenting anatomic findings. However, if these abnormalities are disturbing or unusual, the baby should be referred to a pediatric gynecologist for a proper gynecological examination and to a pediatric endocrinologist or pediatric surgeon for further examination and treatment. In most cases, the related changes are physiological. The neonatologist or the pediatrician is usually the first specialist who detects genital abnormalities in a little girl. Adequate feeding is also important with regard to development. In the neonatal period, it is crucial to instruct mothers of the proper hygienic procedures for girls’ genitals and of how to prevent diaper dermatitis. ![]() As far as health promotion and prevention are concerned, it is essential to take care of a baby girl’s health in relation to her future maternity since birth. There are, however, some disorders that are typical of the neonatal period. There are not many gynecological problems leading to abnormalities in later development that can be diagnosed in newborns. That is why they should be included in specialistic gynecological care, particularly in its preventive aspect. Girls with gynecological disorders constitute 10% of all gynecological patients. It deals with patients from the neonatal period until maturity. Pediatric-adolescent gynecology or developmental gynecology is separated from general gynecology because of the unique issues that affect the development and anatomy of growing girls and young women. In a broader sense, this medical specialty covers the entire woman’s health, including preventive actions, and represents the specificity of anatomical and physiological distinctness of sex. doi:10.Gynecology (from the Greek word ‘gyne’ = woman) is the area of medicine that specializes in the diagnosis and treatment of diseases affecting female reproductive organs (“woman’s diseases”). The little tissue that couldn’t – dispelling myths about the Hymen’s role in determining sexual history and assault. Mishori R, Ferdowsian H, Naimer K, Volpellier M, McHale T. Those with hymenal remnants can also be self-conscious. Hymenal tags can cause painful vaginal examinations, as the speculum can rest on the hymenal ring. Stitches may have been incorrectly placed in the hymenal ring area, causing problems and pain. Hymenal remnants can cause dyspareunia, which is painful penetration/sex and may be a cause of vulvodynia/vestibulodynia in some people. It should never be stitched into, as it could cause extreme pain. Hymenal ring tissue may be used for reconstruction of the hymen in a hymenorrhaphy/hymenoplasty where an intact hymen is important as a marker of ‘virginity’. In those who are pregnant, this tissue can become thickened. ![]() ![]() The hymenal ring is used as an anatomical marker, for example in pelvic organ prolapse (POP, pelvic floor strength assessments, vaginal repairs, and pessary fittings. You can tell if the pieces of flesh are from the hymen because they will be located just inside the entrance of the vagina (not deep inside). This hymenal tissue has a blood and nerve supply and can be very sensitive. The technical name is carunculae myrtiformes or hymenales. This tissue is known as the hymenal ring, hymenal tags or hymenal remnants. The hymenal membrane is stretched out and ‘broken’ by tampons, sex, riding a bike, and so on, and as a result there may be tags or fibrous scar tissue on either side of the vaginal entrance. The hymen is a circular or crescent-shaped membrane located just inside the entrance to the vagina but is absent in some. ![]()
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