Obtained hymenal irregularities usually are considering sexual punishment andrarely by the accidental traumatization
On the child supine, begin your own external examination because of the inspectingher external genitalia (Profile 5). The child can assist you of the holding herlabia aside. Examine their having pubic tresses and you can note the state of the brand new urethra,measurements of the brand new clitoris, any signs of estrogenization, arrangement off thehymen, and you may perineal health. Infants commonly showcase maternal the hormone estrogen outcomes:the latest labia majora, labia minora, and you will clitoris might be seemingly higher, theepithelium a boring pink colour, while the hymen tend to thicker and you may redundant. Afterthe infant several months, the typical size of a routine clitoral glans during the a good premenarchalchild is 3 mm in total and you may step three mm inside transverse diameter. cuatro Inprepubertal female, the newest vaginal mucosa and you can perihymenal tissues would be moreatrophic and appear slim and you will purple.
Visualizing the brand new hymen. If you’re unable to totally photo the new hymen, query thechild to cough or take a deep breath, or remove brand new labia carefully forward anddown otherwise laterally oneself therefore that you could comprehend the hymen and the anteriorvagina. (περισσότερα…)