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| | eMedicine - Imperforate Hymen : Article Excerpt by: Paula J Adams Hillard, MD |
 | | While this examination can and should be accomplished by the pediatrician, the observant delivering obstetrician can learn much about the normal variations in genital configuration by examining the female neonate in the delivery room, keeping in mind the influence and structural changes induced by maternal estrogens. |
 | | Under this influence, the labia majora are plump, the hymen is elastic and often elastic and fimbriated, and the mucosal surfaces (ie, introitus, fossa navicularis, vaginal vestibule) are pale pink. |
 | | Capraro described a surgical technique similar to a perineotomy to correct such a defect; however, in asymptomatic patients, waiting until puberty is generally recommended before deciding whether such a technique is necessary. |
| www.emedicine.com /med/byname/imperforate-hymen.htm (621 words) |
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