Patient's question:
I have an itchy lower body, and my underwear is always yellow. What's going on? What are the typical symptoms of hymenolysis?Doctor's answer:
Hymenolysis, also known as imperforate hymen, is caused by excessive development of hymen folds and the failure of the urogenital sinus epithelium to penetrate the vestibule. Hymenolysis is often discovered after the onset of menarche. If the uterus and vagina are normally developed, menstrual blood accumulates in the vagina after menarche, then extends to the uterus, forming vaginal uterine hematoma. Excessive hematoma can flow into the fallopian tubes and enter the abdominal cavity through the fimbriae. The peritoneum around the fimbriae becomes edematous and adhesive due to stimulation by menstrual blood, leading to fimbrial occlusion and the formation of hematoma in the vagina, uterus, and fallopian tubes. Most patients with hymenolysis clinically present with gradually worsening cyclical lower abdominal pain after puberty, but without menarche. Severe cases may be accompanied by symptoms such as constipation, anal fullness, frequent urination, or urinary retention.