A pregnant virgin with microperforate hymen: A noteworthy obstetric case

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

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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

Abstract

A Pinhead-sized hymenal opening can permit spontaneous pregnancy. A 26-year-old primigravida presented to our institution for antenatal care in the late 2^nd 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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