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Hymenal Findings in Women referred to Fars Legal Medicine Center Examination Unit, Southwest of Iran

Received: 30 November 2013    Accepted:     Published: 20 March 2014
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Abstract

Background: Normal hymenal appearance in adolescents is still not well-documented. Aim: In the present paper, we describe the hymenal findings in a population of Persian women. Materials and methods: This descriptive study was performed in Legal Medicine Center of Fars Province during 2008-2011. The questionnaire was used for collecting data according to the patients' interviews and hymenal physical examinations. SPSS 16 software was used for analyzing the data. P-values less than 0.05 were considered significant. Results: A total of 1'323 women were included. The average age of our study samples was 21.78 ± 2.98 years. Most of the hymens were non elastic (53.58%), followed closely by elastic hymens (46.17%). A 86.99% of the hymens were annular with smooth and continuous rim. The majority of our study's population (80.23%) was referred to us beyond three weeks of their suspected hymenal injury. Regarding hymen's health condition, 57.71% were intact, while 42.25% were injured. There was significant association between the patients' age and duration between hymenal injury and examination (P-Value = 0.023) and hymen's health condition (P-Value = 0.001). Conclusion: The results highlighted the importance of training experienced physicians and midwives from both medical and legal aspects.

Published in Journal of Gynecology and Obstetrics (Volume 2, Issue 2)
DOI 10.11648/j.jgo.20140202.11
Page(s) 12-15
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Hymen, Physical Examination, Forensic Medicine, Shiraz, Iran

References
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[2] Tanagho E, Nguyen HT. Embryology of the genitourinary system. In: Tanagho E, McAnich JW, editors. Smith's General Urology. 17th edition. San Francisco: McGraw-Hill; 2008. P. 27.
[3] Biggs M, Stermac LE, Divinsky M. Genital injuries following sexual assault of women with and without prior sexual intercourse experience. CMAJ. 1998; 159(1):33-7.
[4] Jones JS, Rossman L, Hartman M, Alexander CC. Anogenital injuries in adolescents after consensual sexual intercourse. Acad Emerg Med. 2003 Dec; 10(12):1378-83.
[5] Akhlaghi M, Afshar M, Barooni S, Taghadosinejad F, Towfighi H, Ghorbani M. Essential of forensic medicine and toxicology. 1nd ed. Tehran University Of Medical Science: 2004; 8-266 [In Persian].
[6] Gudarzi F. Forensic medicine for students of law. 1st ed. Tehran: Judicial Police Publication;1989. P. 12-87 [In Persian].
[7] Gudarzi F. The diagnosis of sexual intercourse ″defloration or non-defloration″ in dilated hymens. Scientific Journal of Forensic Medicine 2000; 18(5):61-4 [In Persian].
[8] Towfighi H, Nematollahi Z, Mosavipour F. Determination of incidence and characteristic of sexual offences in women referred to Tehran legal medicine organization (central branch) during the second semester of 1999. 2002; 25(7):4-6 [In Persian].
[9] Hinds A, Baskin LS. Child sexual abuse: what the urologist needs to know. J Urol 1999;162(2):516-23.
[10] Edgardh K, von Krogh G, Ormstad K. Adolescent girls investigated for sexual abuse: history, physical findings and legal outcome. Forensic Sci Int 1999; 104(1):1-15.
[11] Towfighi H, Vaezi S. Epidemiologic survey about situation of hymen in persons referred to examination part of Tehran legal medicine center during summer and autumn of 2007. Scientific Journal of Forensic Medicine 2009; 15:92-5 [In Persian].
[12] Grossim C, siille I, Grandmaison G, Banasr A, Brion F, Durigon M, et at. Analysis of 418 cases of sexual assault. Forensic Sci Int 2003; 131(2-3):125-30.
[13] Berenson AB, Chacko MR, Wiemann CM, Mishaw CO, Friedrich WN, Grady JJ. A case-control study of anatomic changes resulting from sexual abuse. Am J Obstet Gynecol 2000; 182(4) :820-31.
[14] Saint-Martin P, Bouyssy M, Jacquet A, O'Byrne P. [Sexual assault: medicolegal findings and legal outcomes (analysis of 756 cases)]. J Gynecol Obstet Biol Reprod (Paris). 2007; 36(6):588-94 [Used Abstract].
[15] Berenson AB, Heger AH, Hayes JM, Bailey RK, Emans SJ. Appearance of the hymen in prepubertal girls. Pediatrics 1992; 89(3):387-94.
[16] Pokorny SF, Murphy JG, Preminger MK. Circumferential hymen elasticity. A marker of physiologic maturity. J Reprod Med. 1998; 43:943-8.
[17] Gursoy E, Vural G. Nurses' and midwives' views on approaches to hymen examination. Nurs Ethics. 2003; 10(5):485-96.
[18] Hedjazi A, Zarenezhad M, ShaykhAzadi A, Valie M. Epidemiologic study of hymen situation in persons referred to examination part of shiraz legal medicine organization. Yafteh. 2012; 14 (1) 1 :31-37 [In Persian].
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  • APA Style

    Arya Hedjazi, Mohammad Zarenezhad, Sharareh Roshanzamir, Saeed Gholamzadeh, Maryam Valee, et al. (2014). Hymenal Findings in Women referred to Fars Legal Medicine Center Examination Unit, Southwest of Iran. Journal of Gynecology and Obstetrics, 2(2), 12-15. https://doi.org/10.11648/j.jgo.20140202.11

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    ACS Style

    Arya Hedjazi; Mohammad Zarenezhad; Sharareh Roshanzamir; Saeed Gholamzadeh; Maryam Valee, et al. Hymenal Findings in Women referred to Fars Legal Medicine Center Examination Unit, Southwest of Iran. J. Gynecol. Obstet. 2014, 2(2), 12-15. doi: 10.11648/j.jgo.20140202.11

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    AMA Style

    Arya Hedjazi, Mohammad Zarenezhad, Sharareh Roshanzamir, Saeed Gholamzadeh, Maryam Valee, et al. Hymenal Findings in Women referred to Fars Legal Medicine Center Examination Unit, Southwest of Iran. J Gynecol Obstet. 2014;2(2):12-15. doi: 10.11648/j.jgo.20140202.11

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  • @article{10.11648/j.jgo.20140202.11,
      author = {Arya Hedjazi and Mohammad Zarenezhad and Sharareh Roshanzamir and Saeed Gholamzadeh and Maryam Valee and Alireza Shaghaghian and Amin Hosseinzadeh and Fattah Jafarizadeh and Mahmoud Montazeri and Masoud Ghadipasha},
      title = {Hymenal Findings in Women referred to Fars Legal Medicine Center Examination Unit, Southwest of Iran},
      journal = {Journal of Gynecology and Obstetrics},
      volume = {2},
      number = {2},
      pages = {12-15},
      doi = {10.11648/j.jgo.20140202.11},
      url = {https://doi.org/10.11648/j.jgo.20140202.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.jgo.20140202.11},
      abstract = {Background: Normal hymenal appearance in adolescents is still not well-documented. Aim: In the present paper, we describe the hymenal findings in a population of Persian women. Materials and methods: This descriptive study was performed in Legal Medicine Center of Fars Province during 2008-2011. The questionnaire was used for collecting data according to the patients' interviews and hymenal physical examinations. SPSS 16 software was used for analyzing the data. P-values less than 0.05 were considered significant. Results: A total of 1'323 women were included. The average age of our study samples was 21.78 ± 2.98 years. Most of the hymens were non elastic (53.58%), followed closely by elastic hymens (46.17%). A 86.99% of the hymens were annular with smooth and continuous rim. The majority of our study's population (80.23%) was referred to us beyond three weeks of their suspected hymenal injury. Regarding hymen's health condition, 57.71% were intact, while 42.25% were injured. There was significant association between the patients' age and duration between hymenal injury and examination (P-Value = 0.023) and hymen's health condition (P-Value = 0.001). Conclusion: The results highlighted the importance of training experienced physicians and midwives from both medical and legal aspects.},
     year = {2014}
    }
    

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  • TY  - JOUR
    T1  - Hymenal Findings in Women referred to Fars Legal Medicine Center Examination Unit, Southwest of Iran
    AU  - Arya Hedjazi
    AU  - Mohammad Zarenezhad
    AU  - Sharareh Roshanzamir
    AU  - Saeed Gholamzadeh
    AU  - Maryam Valee
    AU  - Alireza Shaghaghian
    AU  - Amin Hosseinzadeh
    AU  - Fattah Jafarizadeh
    AU  - Mahmoud Montazeri
    AU  - Masoud Ghadipasha
    Y1  - 2014/03/20
    PY  - 2014
    N1  - https://doi.org/10.11648/j.jgo.20140202.11
    DO  - 10.11648/j.jgo.20140202.11
    T2  - Journal of Gynecology and Obstetrics
    JF  - Journal of Gynecology and Obstetrics
    JO  - Journal of Gynecology and Obstetrics
    SP  - 12
    EP  - 15
    PB  - Science Publishing Group
    SN  - 2376-7820
    UR  - https://doi.org/10.11648/j.jgo.20140202.11
    AB  - Background: Normal hymenal appearance in adolescents is still not well-documented. Aim: In the present paper, we describe the hymenal findings in a population of Persian women. Materials and methods: This descriptive study was performed in Legal Medicine Center of Fars Province during 2008-2011. The questionnaire was used for collecting data according to the patients' interviews and hymenal physical examinations. SPSS 16 software was used for analyzing the data. P-values less than 0.05 were considered significant. Results: A total of 1'323 women were included. The average age of our study samples was 21.78 ± 2.98 years. Most of the hymens were non elastic (53.58%), followed closely by elastic hymens (46.17%). A 86.99% of the hymens were annular with smooth and continuous rim. The majority of our study's population (80.23%) was referred to us beyond three weeks of their suspected hymenal injury. Regarding hymen's health condition, 57.71% were intact, while 42.25% were injured. There was significant association between the patients' age and duration between hymenal injury and examination (P-Value = 0.023) and hymen's health condition (P-Value = 0.001). Conclusion: The results highlighted the importance of training experienced physicians and midwives from both medical and legal aspects.
    VL  - 2
    IS  - 2
    ER  - 

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Author Information
  • Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

  • Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

  • Burn Research Center, Shiraz University of Medical Sciences, Shiraz, Iran

  • Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

  • Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

  • Student Research Centre, International branch, Shiraz University of Medical Sciences, Shiraz, Iran

  • Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

  • Criminal law and criminology, Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

  • Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

  • Legal Medicine Research Center, Legal Medicine Organization, Tehran, Iran

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