Asma Batool, Saima Perveen, Mussarat Sultana.
Pregnancy with Micro Perforate Hymen (Rare Case Report).
Pak J Med Res Jan ;58(2):103-5.

Background: Hymenalsubocclusive anomaly is quite a rare entity. Exact incidence of microperforate hymen is unclear. Depending upon the size of microperforation, it may remain asymptomatic or present at puberty with heamatocolpos, sexual dysfunction like aparunea or subfertility. Very rarely it may present with spontaneous pregnancy or miscarriage. Objective: We aim to report a patient who had sexual problems and conceived after treatment of infertility later found to have microperforate hymen. Although it is a rare case, we aim to highlight the importance of pelvic examination and its effects on management. Case Report: we report a case in which a young lady who conceived on treatment, presented with missed miscarriage followed by inevitable miscarriage. On examination, she had intact microperforate hymen. Hymenectomy and evacuation of retained product of conception was done. Patient remained well after that and reconceived after five months. Results: After treatment, patient had normal marital relations and she conceived after five months and had normal term pregnancy. Conclusion: This case highlights the need to perform thorough pelvic examination and to consider hymenal abnormalities in all patients presenting with subfertility. Early intervention can prevent the delay in conception, psychological issues and sexual problems.

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