About UsConditions & TreatmentsFor ProfessionalsBlog & NewsStoreContact UsSearch

Hymen and vaginismus

Contact Us:
Share this page:

Can a hymen cause vaginismus?

Typically, NO — but, read on.

The hymen is a thin, vascularized membrane, an embryonic remnant of the vaginal separation from the urogenital sinus = the tissue that forms the genitals. The hymen will usually perforate during embryonic development and will vary in thickness, size, and shape from one female to another. The hymen does not regenerate (grow back)!

There are 3 typical variations of hymeneal presence (excluding anomalies):

  1. An imperforate hymen, which means it did not perforate (did not develop an opening within it). An imperforate hymen is uncommon, and is typically diagnosed during onset of menstruation when the blood that cannot ‘come out’ of the body keeps accumulating on the inside. This is a painful and a potentially life-threatening situation that needs immediate medical attention.
  2. A partially-intact hymen, which means that there is leftover hymeneal tissue present, typically between the 4 o’clock and the 8 o’clock, if we use that description. The opening within the hymen can be large enough to accommodate a tampon or a finger, or so small that even the pinky (smallest finger) will not pass through. A partially-intact hymen can be elastic and responsive to stretch (common), or fibrous and rigid (less common).
  3. Minimal or no hymen, even in the absence of vaginal penetration! Despite it being quite common, there is no explanation for it; bike riding or gymnastics are not the cause…

Imperforate and rigid hymens require a hymenectomy, a simple procedure during which the hymen is removed.

An partially-intact elastic hymen will respond to vaginal penetration, may it be a finger, tampon, gyno exam, or intercourse. There may be initial discomfort and/or bleeding, but not necessarily as not all hymens react the same. So, when it comes to intercourse, do not assume that the first-time will be painful or bloody!

Note: the presence of a hymen cannot be established just by looking at the vaginal opening. Clinicians who attempt a gynecologic exam inationon a woman with vaginismus will often interpret her tight (and anxious!) vaginal opening as an intact hymen and offer a hymenectomy as a solution… Remember: a digital (finger) exam is necessary to arrive at a definitive conclusion!

The presence of a hymen does not cause vaginismus. It may restrict or limit vaginal access, but the woman will typically be cool about her vagina and able to face vaginal management without distress.

So when may the presence of a hymen bring about vaginismus? When the woman is

  • Anticipating pain upon first-time penetration (but maybe it won’t really hurt?)
  • Is anxious about ‘breaking’ the hymen (maybe there is no hymen?)
  • Cannot handle physical discomfort (maybe there will be none?)
  • Cannot handle the site of blood (maybe it won’t bleed?)
  • Stressed about an unknown; what will it be like to have something inside my vagina?
  • Forced into having intercourse/losing her virginity

*   *   *   *   *   *
On a humorous note, check the following quote from a book by the name of Sex Revelations and The New Eugenics, published in 1936 by two physicians, Whitehead and Hertel:  “Regarding the hymen… It sometimes grows again in widows, or in women who have been a long time separated from their husbands…”


(Visited 9,646 time, 8 visit today)

Leave a Reply

Your email address will not be published. Required fields are marked *

  • Sarah says:

    Okay so I’ve did a test to see if my hymen was still intact… wasn’t too sure if I was.. I went to the Drs and I was told it’s “partially intact”. The partially doesn’t keep me reasssured. Does it mean that it’s still in untouched condition ?

    • Ditza Katz says:

      A partially intact hymen means that some of it is still in place (not gone). It also suggests that a penis was not inside you or the entire hymen would have been gone. Not sure about the ‘untouched’ because anything that goes into the vagina (finger, tampon) ‘touches’ it.

  • Elizabeth says:

    I dont know if i av a hymen cos i dnt feel anything on the outside of my virgina but wen i insert my finger into my virgina i feel something not too hard and shifting inside i can even push it more inside. Could that be the hymen or it is part of the virgina or im not born wth a virgina? Please reply. Thank you

  • watch movies online says:

    Sweet blog, I had not noticed womentc.wordpress.com previously during my searches!
    Keep up the wonderful work!

  • Hymenoplasti says:

    Thanks for the information provided