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Hymenoplasty, also called hymen reconstruction, is a surgical procedure that changes tissue around the vaginal opening. A gynaecological consultation, assessment of your anatomy and discussion of your expectations and the risks are needed before considering treatment.
At Tartaczna 2 Medical Centre in Gdańsk, consultations about hymenoplasty are provided by Dr Volha Khitrun.
The hymen is a fold of mucosal tissue at the vaginal opening. Its shape, thickness and elasticity vary. It usually surrounds part of the opening, allowing menstrual blood to pass.
The appearance of the hymen cannot reliably establish whether a woman has had sexual intercourse. Not everyone bleeds during first intercourse, and an absence of bleeding can be entirely normal.
Some congenital variants, such as an imperforate hymen, can obstruct menstrual flow and require separate assessment. Treating an obstruction has a different purpose from hymenoplasty requested for personal reasons.
The procedure can alter the arrangement and appearance of tissue at the vaginal opening. The possible extent of surgery depends on your anatomy, previous injuries and healing.
Hymenoplasty does not restore “virginity” or establish a person's sexual history. It also cannot guarantee bleeding during future intercourse, a particular sexual experience or an improvement in a relationship.
Surgery does not treat the psychological effects of sexual violence. If relevant, the consultation can also include discussion of appropriate psychological support.
The consultation includes discussion of your reasons for considering surgery, a gynaecological examination and an explanation of what may be achievable. The decision should be voluntary and based on your informed consent. You can decide not to proceed after learning about the procedure and its risks.
Tell your doctor about pain, difficulties with intercourse, previous injuries or operations. These symptoms may need investigation and a different approach. If pressure from others or concerns about your safety are influencing your decision, you can discuss this with the doctor without an accompanying person present.
Following assessment, the surgeon adapts the procedure to the available tissue and anatomy. It involves surgically arranging and suturing appropriate mucosal tissue. Reconstruction in the way a patient expects is not always possible.
The procedure usually takes around 30–60 minutes and may be performed under local anaesthesia. The anaesthetic injection can cause brief stinging, and you may still feel touch or pressure during surgery. You will receive wound care instructions and information about follow-up.
Tell your doctor about medicines and supplements, allergies, bleeding disorders and previous wound healing problems. Further tests depend on your medical history and the planned procedure. Do not stop medicines that affect blood clotting on your own.
Smoking may impair wound healing. Discuss stopping or reducing smoking and preparation of the treatment area at your assessment.
Tenderness, swelling and light spotting may occur after hymenoplasty. Healing usually takes several weeks. Returning to work and other activities depends on your recovery and the nature of your activities.
As with other surgery, possible complications include bleeding, infection, wound separation, scarring, persistent pain, changes in sensation and pain during intercourse. The result may differ from your expectations. Any further surgery requires reassessment and carries additional risk.
Increasing pain, fever, pus, significant bleeding or difficulty passing urine requires prompt medical advice.
Book a consultation with Dr Volha Khitrun to discuss the purpose of the procedure, available options and its limitations.
Contact the Tartaczna 2 Medical Centre reception team or use ZnanyLekarz. Call +48 58 719 10 25 or email kontakt@tartaczna2.pl.
