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Your Guide to Understanding Septate Hymen- Symptoms, Diagnosis, and Treatment Options

Home > Blogs > Your Guide to Understanding Septate Hymen- Symptoms, Diagnosis, and Treatment Options

Your Guide to Understanding Septate Hymen- Symptoms, Diagnosis, and Treatment Options

Obstetrics and Gynaecology | by Dr. Parnamita Bhattacharya | Published on 17/04/2024


According to one study, Around one 1 in every thousand females suffer from septate hymen. What is a hymen? Hymen is a thin, ring-shaped membrane that is located at the vaginal opening. What is its primary role? To shield this private area of the body and partially conceal it. Imagine that a tiny cut through the middle of this membrane has produced two different openings rather than just one. It is known as the septate hymen. But what does that mean? It is the appearance of two vaginal openings, but there is only one that is partially blocked down the middle. 

All in all, the effects of this small structural anomaly in females can vary. It could go unnoticed by some and for some can pose some challenges. Some females experience difficulties during sexual intercourse or go through their menstruation. 

So, if you experience similar symptoms, then make sure to book your appointment with the best gynecologist in Kolkata at The Calcutta Medical Research Institute. The team of health experts ensures improved health and well-being at every stage by providing comprehensive services ranging from regular check-ups to specialized treatments.

An extensive discussion of the septate hymen, possible symptoms, and other related aspects will be covered in this guide. So, stay tuned till the end. However, please note that this blog is for informative purposes only and doesn’t replace the significance of a doctor’s consultation. 

What is Septate Hymen?

The septate hymen is a thin membrane that is found at the vaginal entrance. Its distinctive feature is a septum, a vertical band of tissue dividing the hymenal opening either entirely or partially. Due to the septum's creation of two tiny openings rather than one, females having this problem experience challenges during menstruation or intimate activities. Although not unusual, it frequently goes undiagnosed until adolescence or later. If the septate hymen causes discomfort or complications, medical intervention is required. The most common treatment method involved by a gynecologist is hysterectomy. It is imperative to comprehend this anatomical variation to provide appropriate healthcare and address any associated concerns.

What are septate hymen symptoms?

The following are some of the common septate hymen symptoms:

  • Pain or Discomfort: Because of the septum's limited opening, females experience pain or discomfort during physical activity, inserting a tampon, or sexual intercourse.
  • Menstruation issues: Menstrual blood can build up behind the septum, making it complex for the menstrual flow to pass which causes difficulty with menstruation. Abdominal pain, irregular periods, or even amenorrhea occur due to this problem.
  • Recurrent Infections: The risk of recurring vaginal infections is increased by the septum, which can form a pocket where bacteria or other microorganisms can gather.
  • Difficulty Having Sexual Relations: Because of the limited opening and possible tearing of the tissue, the septate hymen may cause pain or discomfort during penetrative sexual relations.

What are septate hymen causes?

Usually, septate hymen is a congenital condition, meaning that it exists from birth. Although the precise septate hymen cause is not always known, it is believed to occur when the vaginal tissue fails to completely dissolve during fetal development, leaving a tissue band across the hymenal opening. This condition may be caused by abnormal hormone levels during development or by genetic factors. The septate hymen is not often related to any particular external factors or actions, but on occasion, it can be connected to specific hormonal disorders or syndromes. Consulting a gynecologist can shed more light on specific cases.

How is septate hymen diagnosed?

A medical professional, usually a gynecologist, will usually perform a comprehensive physical examination to diagnose a septate hymen. The hymenal area will be visually inspected by the doctor during the examination to look for any abnormalities or irregularities. To evaluate the hymen and vaginal canal's structure, they might also conduct a pelvic exam. 

What are the options available for septate hymen treatment?

The degree of symptoms and personal preferences are usually the determining factors for septate hymen treatment. Here are a few options:

  • Observation: A physician advises keeping an eye on the condition over time without taking any action if the septate hymen is not causing any noticeable symptoms or discomfort. Regular examinations can guarantee that any possible problems are treated before they cause complications.
  • Surgical Correction: If the septate hymen significantly impairs daily functioning or produces severe symptoms, surgery is recommended. The most popular procedure is called a hymenotomy, in which a single, larger hymenal opening is created by surgically cutting or removing the septum. It is performed under local anesthesia as an outpatient procedure.
  • Hymenectomy: In certain situations, a hymenectomy is involved for the complete removal of the hymen especially if the septum is thick or extensive. This procedure is often advised if the septate hymen results in recurrent symptoms or complications because it can offer a permanent solution to the problem.


In summary, understanding the septate hymen is essential for raising awareness and enabling people to seek the proper medical attention when required. Even though it might be a rather uncommon anatomical problem, its possible effects on sexual and menstrual health highlight how crucial early detection and treatment are. Treating symptoms related to the septate hymen can greatly enhance the quality of life and reduce pain, whether by surgical correction, observation, or other means. Through promoting transparent communication and disseminating precise information, we can guarantee that those impacted by this illness receive the assistance and attention they deserve.



How common is the septate hymen?

According to one study, Around one 1 in every thousand females suffer from septate hymen, so, it is not a common condition.

How does a septate hymen cause infertility?

Females with septate hymen can experience infertility, although, most can have a normal reproductive life, however, it might lead to complications linked to pregnancy. Women with septate hymen are vulnerable to risks such as miscarriage, breech presentation, and premature labor

Are septate hymens genetic?

Septate hymens are not thought to have a direct genetic origin. Generally speaking, they are thought of as fetal development abnormalities. There may be cases in which specific circumstances or genetic factors indirectly aid in the formation of a septate hymen, even though there isn't a clear genetic connection.