Last updated date: 16-Jun-2023

Medically Reviewed By

Written by

Dr. Lujain Badea Ali

Originally Written in English



    A hymenorrhaphy is a surgical treatment that involves sewing the hymen back together. It is also known as hymen reconstruction and is not considered part of standard gynecological care. It is frequently classed as a plastic surgery operation, owing to its lack of a medical function. As a result, it is not generally offered in hospitals, and patients must travel to private clinics to have the surgery performed. Women who undergo the operation typically do it in order to induce the hymen to bleed when ruptured during sexual intercourse, which certain cultures see as proof of virginity. The process, however, is considered taboo in some cultures and is even banned in some nations.


    What is Hymenorrhaphy?


    The hymen is a thin layer of tissue that surrounds the vaginal opening. Outside of intercourse, the hymen can readily rupture in a variety of scenarios, including intense sports such as horseback riding or gymnastics, tampon insertion, or even frequent pap smears. Many women may be unaware that their hymen has ripped since there is little to no blood loss or discomfort. Hymen repair surgery, also known as hymenorrhaphy is a straightforward operation for repairing a damaged hymen or constructing a hymen that does not exist. It is critical to note that the procedure will not restore virginity, but it will allow women to rip and bleed the first time they participate in sexual activity following the surgery.

    Your hymen will be repaired and restored six weeks following surgery. When the majority of our hymen-repair patients participate in intercourse for the first time after surgery, the hymen will rupture like it would with a normal hymen. There are typically no traces that a hymen repair surgery was performed, and our patients are entirely capable of meeting their family's and potential husband's cultural or religious requirements. It is critical to recognize that the bleeding caused by the ripping of the surgically manufactured hymen is just as unexpected as the bleeding caused by a natural hymen.


    Who should go through it, and what are the expected outcomes?


    Women in excellent health who want to have their hymen fixed are the ideal candidates for Hymenorrhaphy. In most cases, the hymen does not need to be repaired for general health reasons. Patients undergoing Hymenorrhaphy should also have reasonable expectations of what the treatment may provide. Hymen repair will meet religious or cultural standards regarding intercourse, and can provide psychological and emotional support for sexual assault victims; nevertheless, hymen repair will not make you a virgin again; rather, it will only provide the illusion of virginity in certain circumstances.

    For patients who must guarantee that their hymen remains intact during intercourse on their wedding night. The operation must be performed at least 6 weeks before the wedding night. If breaking your hymen is necessary for you for social, cultural, religious, or personal reasons, your plastic surgeon will discuss the operation with you openly and honestly.

    Many women choose Hymenorrhaphy just to improve the appearance of their vagina, which may appear to others to be a waste of money. However, this operation may be highly useful for many individuals for a variety of reasons:

    • Religious or cultural reasons: Having an unbroken hymen is very important in many cultures across the world. The hymen can rip for a variety of causes, and with cosmetic surgery to replace it, women can demonstrate their chastity or virginity, which is required in some societies. Wedded females with a hymen and bleeding during the first nuptial intercourse are valued in the Middle East and India.
    • To make the first night of courting unforgettable, do the following: Having your first sexual encounter with your lover is an unforgettable experience. If you have damaged your hymen and do not want this to cause a storm in your life, Hymenorrhaphy may be of great assistance if you are from a country with a traditional medieval societal culture. It can alleviate the stress associated with the wedding.
    • Hymen Injury: The hymen can rip even when there is no intercourse in many cases. Vigorous activity and tampons can cause hymen tears, which women should have fixed. Hymenorrhaphy might be an appropriate surgical treatment in such circumstances.
    • Psychological Healing: Survivors of sexual assault or rape are likely to have a torn hymen. To deal with the trauma and stress of such abuse, some women choose Hymenorrhaphy to repair the physical and mental harm done.


    Facts and myths about Hymenorrhaphy

    Facts and myths about Hymenorrhaphy

    • Fact: Women do not have to bleed during their first sexual encounter. In certain women, the hymen is thin and flexible, and it can rupture even without insertion or sexual act. Some women, on the other hand, have a thick and hard hymen that does not easily rupture and may only break during sexual intercourse, resulting in bleeding. Myth: Every woman possesses a hymen.
    • Fact: No, not every woman is born with a hymen. Some women are born with hymen, while others are born without one. Approximately one in every 1,000 females is born with an imperforate hymen. This is a hymen that has no entrance to the vagina. Myth: Hymenorrhaphy can cause vaginal tightness.
    • Fact: Hymenorrhaphy is a surgical procedure performed on the vaginal surface that has no effect on vaginal laxity. Laser vaginal tightening is a safe and painless process that may be done in 2-3 sessions if a lady wishes to cure a loosened vagina. Myth:  The hymen is THE definitive hallmark of virginity, according to myth.
    • Fact - Clinically, there is no precise sign to establish a woman's virginity, particularly hymen. Several studies have proven that hymen breaking is NOT a symptom of losing one's virginity. Myth: The hymen is impermeable and unyielding.
    • Fact - In some women, the hymen are thick and solid, but in others, it is thin and flexible. Women may suffer hymen breaking again following Hymenorrhaphy, just as they did after their first sexual contact.


    Consultation for Hymenorrhaphy 

    Consultation for Hymenorrhaphy

    If you are considering this delicate procedure, you should be completely confident in all elements of it. Many women find it difficult to disclose the nature of this procedure. 

    Before the plastic surgeon is deciding to undergo surgery, he will consider your expectations carefully and discuss them with your doctor. During your appointment, they will listen to all of your questions and concerns, speak frankly to you about why you are having the surgery, and guide you through all of the intricacies of the procedure.


    Preparing for Hymenorrhaphy

    Preparing for hymenorrhaphy

    Your surgeon and a patient coordinator will go through how to prepare for your hymen repair surgery, including how to prepare for recovery and what actions to take to be fully prepared. Prior to your hymen repair surgery, you will also need to have a gynecological checkup.

    Because there are no definite contraindications to the procedure, determining if a patient is a candidate for Hymenorrhaphy is rather easy. Clinical testing and pelvic exams, on the other hand, are two tests that the doctor must undertake. While the pelvic exam allows the doctor to see the current state of the hymen and recommend the best treatment, clinical tests help measure the patient's weight, blood pressure, and sugar levels to rule out relative contraindications.

    The doctor may also inquire about your menstrual cycle, as Hymenorrhaphy is best performed within two days after your previous menstrual period.


    When is the best time to Have Hymenorrhaphy Surgery?

    Hymenorrhaphy Surgery

    Hymenorrhaphy is best performed 45 days before the anticipated intercourse date. This is due to the fact that the sutures used to sew the hymen require at least 2-3 weeks to dissolve, and the body takes another 3 weeks to fully recuperate and prepare for intercourse.

    Intercourse prior to complete recovery can result in excruciating discomfort, damage, bleeding, and infection. As a result, timing the operation correctly is critical to achieving the desired results.


    How does the process work?

    Hymenorrhaphy process

    A hymenorrhaphy is a simple, non-invasive technique that may be done with local anesthesia and minimal sedation. If the circumstances surrounding the patient's health need it, the treatment can also be conducted under general anesthesia.

    The procedure begins with the removal of the hymen's damaged margins in preparation for hymen rebuilding.

    A hymen reconstruction can be accomplished in three ways:


    Hymen Repair or Hymenorrhaphy

    7-10 days before marriage for short-term results. Simple hymen repair can potentially be accomplished in two ways. The first hymen repair surgery involves suture approximation of hymen tags or remains (Hymenorrhaphy), which cuts through with force of entry, resulting in some bleeding. After 2-3 weeks, the stitches disintegrate and the hymen remnants split again, just like before surgery. In the second type of hymen repair surgery, we conduct formal hymen repair, which heals to give you natural hymen, if not, it fulfills its function and is gone. The next most significant aspect of hymen repair surgery is the use of invisible sutures; otherwise, your partners will be able to identify the sutures. For Hymen repair or Hymenorrhaphy, we employ a microsurgical approach.


    Hymenorrhaphy  for a Natural-Looking Hymen

    Hymenorrhaphy, also known as laser permanent reconstructive Hymenorrhaphy or Hymenoplasty, should be performed at least 3-4 weeks before marriage, if not sooner. Hymen looks, feels, and acts like natural hymen after adequate healing (means breaks & bleeds with penetration with no evidence of Hymenorrhaphy surgery). It is a frequent myth that hymen never heals and that you must rely on sutures (as in hymenorrhaphy). This is not true; it heals nicely with proper Hymenorrhaphy surgery and if given adequate time and care. The surgical time (30-40 minutes), recuperation time (a few hours- there may be some pain or discomfort), and rest (not absolute bed rest) time (1-2 hours) are all the same. Only the advanced Hymenorrhaphy procedure requires you to have it done at least 3-4 weeks, preferably 6 weeks, before marriage, and you must refrain from pulling pussy lips apart for at least three weeks.


    The super Hymenorrhaphy  permanent hymen repair procedure 

    Is the finest and most reliable type of Hymenorrhaphy. A superHymenorrhaphy technique has been reported in which a superhymen is formed, resulting in increased bleeding on the eve of the first sexual act. It gives the pair more enjoyment. Because just ripped fragments are needed to construct the superhymen, there are no difficulties.  Hymen rupture and virginity loss can occur as a result of a person's desire or as a result of circumstances beyond her control.  In this situation, 'permanent hymen repair' and revirginization are accomplished. The quantity and length of past sexual interactions are unimportant in permanent type superhymen repair. It can even be performed on people who have already experienced an abortion or miscarriage. After Hymenorrhaphy surgery, there will be no scars of any kind. Permanent Hymen Repair, often known as'superHymenorrhaphy procedure,' is a type of superhymen repair. The goal is to enable bleeding similar to the first night. Permanent hymen surgery is sometimes referred to as "long-term repair" or "permanent repair."


    Recovery after Hymenorrhaphy

    Recovery after hymenorrhaphy

    You will be allowed to go home the same day as your treatment, and while you can return to work the next day, we recommend that you take things slowly and give yourself time to relax in order to enable your body to recuperate.

    Following your hymen repair surgery, you will need to cleanse the region gently with soap and water on a regular basis. Slight swelling and bruising will occur for 2-4 weeks, but the discomfort should be low and should disappear within a week of surgery. You will be given a prescription for pain relievers and antibiotics to help with any discomfort and to avoid infection.

    If you are undergoing hymen repair surgery before your wedding, you should avoid any vaginal insertion, including tampons, until the wedding night. This allows the wounds to properly heal and keeps the new hymen from breaking. Wearing tight underwear (such as thongs), heavy lifting, and strenuous activities should also be avoided as they may have a negative impact on your healing. Sutures disintegrate and fall out on their own. One week after surgery, you should be able to resume light exercise. For 4-6 weeks, avoid heavy lifting or strenuous exercise routines.


    Potential Hazards and complications

    Potential hazards and complications

    Hymenoplasty surgery is a safe and successful method of repairing hymens. However, like with any other operation, problems are possible. It is determined by the surgeon's surgical competence and the patient's overall health. Apart from irregular bleeding, there aren't many hazards associated with hymenorrhaphy.

    While hymenorrhaphy is typically safe, it does carry some risk after surgery, just like any other surgery. These are some examples:

    • Infection - Infection is a common danger in all types of surgery. This is why, in almost all situations, the attending physician recommends antibiotics to avoid infection.
    • While bleeding is common following the treatment, it should lessen and go entirely within a few days. Prolonged bleeding might indicate a complication.
    • Stricture occurs when the hymen is over-corrected and the elastic membrane becomes excessively tight, leading the aperture to become too narrow. This may cause some discomfort during sexual intercourse, but it may resolve on its own. Despite the minimal risk, problems from a hymen rebuilding treatment are quite rare.



    Hymenorrhaphy Surgery, also known as Hymen Repair Surgery or hymenoplasty, is a simple yet medically proven way of mending a damaged hymen. The doctor will initially provide local anesthesia to ensure that the surgery is painless. The damaged hymen pieces are then sewn together with dissolvable and minute sutures. The Hymenoplasty operation is brief, lasting about 30-45 minutes, and you may walk home the same day after a short rest period. Contrary to common belief, the operation leaves no scars, is completely successful, and after a few weeks, there is no way to tell the difference between a natural and surgically repaired hymen.