European Journal of Pediatrics

, Volume 173, Issue 11, pp 1407–1412

Hymenal anomalies in twins—review of the literature and case report

  • Rafal Watrowski
  • Christoph Jäger
  • Monika Gerber
  • Catherina Klein
Review

Abstract

Subocclusive hymenal variants, such as microperforate or septate hymen, impair somatic functions (e.g., vaginal intercourse or menstrual hygiene) and can negatively impact the quality of life of young women. We know little about the prevalence and inheritance of subocclusive hymenal variants. So far, eight cases of familial occurrence of occlusive hymenal anomalies (imperforate hymen) have been reported. In one of these cases, monozygotic twins were affected. We are reporting the first case of subocclusive hymenal variants (microperforate hymen and septate hymen) in 16-year-old white dizygotic twins. In addition, we review and discuss the current evidence. Conclusion: The mode of inheritance of hymenal variants has not been determined so far. Because surgical corrections of hymenal variants should be carried out in asymptomatic patients (before menarche), gynecologists and pediatricians should keep in mind that familial occurrences may occur.

Keywords

Hymenal anomalies Microperforate hymen Septate hymen Imperforate hymen Genital anomalies in twins 

Abbreviations

VCUAM

Vagina Cervix Uterus Adnex-associated Malformation

CRL

Crown–rump length

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Rafal Watrowski
    • 1
  • Christoph Jäger
    • 1
  • Monika Gerber
    • 1
  • Catherina Klein
    • 1
  1. 1.Division of Gynecology and ObstetricsSt. Josefskrankenhaus, Academic Teaching Hospital of the University of FreiburgFreiburgGermany

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