The clinical role of anatomical abnormality of the hymen

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Abstract

Hymen atresia is a congenital anomaly of the female genital organs, which occurs in 1 per 1000–2,000 newborn girls.

In the paper, based on the data of modern medical literature, the authors carry out a critical analysis of the theories of vaginal embryogenesis, detailed the key stages of development of the female genital system as a whole and show the relationship of formation of the urinary and genital systems. Also, based on the cases presented in the literature, they indicate that due to the nonspecific symptoms, the detection of hymen atresia is often delayed, which leads not only to female reproductive dysfunction, but also to cardiovascular, urinary, nervous, digestive, and locomotor complications, and to unjustified surgical interventions.

Conclusion: In this connection, the authors believe that for the timely diagnosis of hymen atresia, concomitant anomalies, and complications, for the prevention of unjustified surgical interventions, it is important that practitioners should have a certain clinical alertness and a clear idea of different types of symptomatic manifestations of this congenital malformation.

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About the authors

Vladimir Ye. Milyukov

Department of Human Anatomy, N.I. Pirogov Russian National Research Medical University, Ministry of Health of the Russian Federation

Email: Milyucov@mail.ru
ORCID iD: 0000-0002-8552-6727

Dr. Med. Sci., Professor

Russian Federation, Moscow

Elizaveta A. Brileva

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University)

Author for correspondence.
Email: lbrileva.brilli@gmail.com
ORCID iD: 0000-0002-8343-751X

student of the N.V. Sklifosovsky Institute of Clinical Medicine

Russian Federation, Moscow

Diana R. Zakirova

I.M. Sechenov First Moscow State Medical University, Ministry of Health of the Russian Federation (Sechenov University)

Email: Elmira.z.ufa@yandex.ru
ORCID iD: 0000-0002-5918-5789

student of the N.V. Sklifosovsky Institute of Clinical Medicine

Russian Federation, Moscow

Nguyen Cao Cuong

Yersin University

Email: nguyencaocuong2712@gmail.com
ORCID iD: 0000-0003-2190-6648

PhD, Dean of the Faculty of Pharmacy and Nursing

Viet Nam, Da Lat

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