Journal of Obstetrics and Gynaecology of Eastern and Central Africa

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A pregnant virgin with microperforate hymen: A noteworthy obstetric case

A Pulei, N Were, K Matui, I Salwa, M Owiti, L Okutoyi


A Pinhead-sized hymenal opening can permit spontaneous pregnancy. A 26-year-old primigravida presented to our institution for antenatal care in the late 2nd trimester. She reported to have conceived through contact of semen with her vulva, but had never had penetrative vaginal sex. On subsequent follow up, a decision to have an elective caesarean at 39 weeks was made. We report this example because management of such cases can be challenging especially if a timely diagnosis is not made due to lack of awareness and the patient presents when pregnant.

Keywords: Pregnant virgin, Elective caesarean, Microperforate hymen, Dilation

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