I also don’t advocate that women be conservative and must keep their virginity until marriage, and I resent men using their hymens to also measure the character of women. But as a woman, you still have the right to defend the integrity of your hymen, and no one is allowed to break it without your permission, including doctors. A. What kind of examination will hymen break? When a woman with gynecological problems comes to the gynecologist, the doctor routinely performs examinations of the female reproductive organs. These examinations include: 1. Careful observation of the vulva Whether the structure is normal, whether there is redness and swelling and other signs of inflammation, whether there are changes in the skin mucosa whether there are tumors, and whether there is prolapse of the organ. This examination the doctor should carefully observe with his eyes and touch the vulva with his hands. It will not damage the hymen. 2. Observe if the vagina and cervix are normal The female reproductive organs are in a relatively superficial position in the body and the vagina is a cavernous organ. It is easier to observe if there are foreign bodies, tumors and abnormal secretions in the vagina and in the common menstrual business than in other organs such as the esophagus, stomach and intestines, just with the help of a small apparatus that holds the vagina open for a complete observation. This small apparatus is called a speculum. It is a medical device invented more than 1000 years ago, making it possible to observe diseases of the genital organs in a more visual way. This test can damage the integrity of the hymen. 3.Double diagnosis In the era without ultrasound, doctors mainly relied on this test to determine the size of the uterus, the presence of cysts in the ovaries, and the number of weeks of pregnancy. Although there are now very cash imaging tests such as ultrasound and MRI, duplex examination is still an indispensable test in clinical practice. Especially when you complain of abdominal pain and dysmenorrhea, the duplex examination, can determine if you have pelvic inflammatory disease or endometriosis. What is duplex examination? Duplex examination is when the doctor uses two hands to examine the uterus. Two fingers of one hand go into the vagina and push up on the uterus, while the other hand presses on the lower abdomen to understand the size of the uterus and the condition of the pelvis. Because one hand has to go inside the vagina, it can be difficult, painful or disruptive if the hymen is intact. So how does the doctor find out the pelvic condition if the hymen is intact? Anal examination! The fingers of one hand are passed through the anus rectum to lift the uterus up. 4. Vaginal ultrasound Many people think of cath lab, abdominal ultrasound, and ultrasound as different examinations. Vaginal ultrasound and abdominal ultrasound are all B-type ultrasound, they just go through different pathways to look at the organs of the pelvis. Vaginal ultrasound means that the probe goes through the vagina to lift the uterus for observation, which is closer to the uterus and ovaries and therefore more accurately observed. Abdominal ultrasound, on the other hand, requires a urine-holding examination and is slightly less sensitive. Vaginal ultrasound is an option for all women who have had sex. If the hymen is intact, such an examination may disrupt the hymen. So can the doctor only do an ultrasound through the abdomen if the hymen is intact? No! Ultrasound can be done through the rectum. These tests are the most basic tests. Although the most visual and accurate examination is through the vagina, if you have not been sexually active, your doctor will respect your opinion and not destroy the integrity of your hymen by not performing a vaginal exam, double hysterectomy and vaginal ultrasound; your doctor has other means to diagnose the disease entirely. It is your right to protect the integrity of your hymen. You just have to tell your doctor that you haven’t had sex yet! However, sometimes the doctor’s need to diagnose the condition necessitates such tests, and these tests cannot be replaced by other means, so please also make a rational and well-informed choice. Secondly, in what cases does the hymen need to be sacrificed? Vaginal foreign bodies in young girls It is very common for young girls to be curious by nature and for foreign bodies to occur in the vagina. Traditional methods of foreign body removal require the use of a speculum, which can then damage the hymen. If the local medical condition is such that only traditional methods can be used, then it is also necessary to cooperate with the removal of the foreign body. Long-term abnormal uterine bleeding Abnormal uterine bleeding in adolescence does not exclude malignant changes in the endometrium. In adolescent or unmarried patients with abnormal menopausal bleeding, or polycystic ovary syndrome, diagnostic curettage or hysteroscopy is required if long-term abnormal uterine bleeding does not completely exclude endometrial cancer. These examinations must also be performed through the vagina into the uterine cavity, inevitably destroying the hymen. If there is a compelling need to perform a vaginal exam on a woman with no sexual history that may disrupt the integrity of the hymen, the physician will inform and consult with the patient. At this point, there is no need to refuse the examination in order to defend the integrity of the hymen, which will certainly be more important for health. Third, why did the hymen rupture after the examination in the article? First of all, the doctor ignored the problem that the woman coming to the clinic might be a non-sexual person, and therefore did not take the initiative to ask for advice. Secondly, the patient entered the gynecology department for the first time for an examination and did not take the initiative to explain that she had no sexual history. Of course, if one does have no sexual history and an intravaginal exam is performed, the primary responsibility remains with the doctor. However, when you are ready to go to the gynecologist’s office, find out what tests may be needed and also remember to remind the doctor that you haven’t had sex yet and he or she will definitely respect you. As a final note, no matter how your hymen ruptures, it is not a heavenly event that damages your health nor your personality, character and chastity, especially if it is due to medical treatment, it does not mean that you are not a virgin.