Will Menstruation Still Occur After Hymen Rupture? - Obstetrics and Gynecology

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Will menstruation still occur after the hymen is broken?


If the hymen has been ruptured, will menstruation still occur? It has been almost two weeks late.
I have purchased a pregnancy test, and the results show no pregnancy.
Why hasn't my period come yet? I have noticed some vaginal discharge, but my period still hasn't arrived.
Is this normal? I am 18 years old but not yet 20.
Am I able to have a child?

Ting Ai, 10~19 year old female. Ask Date: 2012/04/14

Dr. Yang Wangjun reply Obstetrics and Gynecology


Hello: Regarding your inquiry, here are the responses: (1) Amenorrhea can be classified into primary amenorrhea and secondary amenorrhea.
Primary amenorrhea refers to the absence of menstruation from the onset of puberty, while secondary amenorrhea occurs when a person has previously menstruated but then experiences a cessation of menstruation for a period of time.
The causes of these two types are quite different.
(2) The definition of normal amenorrhea is the absence of menstruation for more than one year.
Given your situation, it can only be described as a delay in menstruation.
If the hymen has been ruptured, it is important to determine whether ejaculation occurred within the vagina.
Of course, the first step in addressing a delayed period is to rule out pregnancy; home pregnancy tests can sometimes yield false results.
Additionally, if there are issues with vaginal discharge, it is advisable to consult a gynecologist for an examination.
If the delay is solely due to emotional stress, treatment to induce menstruation can resolve the issue.
Thank you for your message!

Reply Date: 2012/04/14

More Info


When it comes to the question of whether menstruation will still occur after the hymen ruptures, the answer is generally yes. The hymen is a thin membrane that partially covers the vaginal opening, and its rupture can occur due to various reasons, including sexual intercourse, physical activity, or medical examinations. However, the presence or absence of the hymen does not directly influence the menstrual cycle.

Menstruation is regulated by hormonal changes in the body, primarily involving the ovaries and the endometrium (the lining of the uterus). The menstrual cycle is typically around 28 days, but it can vary from person to person, ranging from 21 to 35 days. Factors such as stress, changes in weight, exercise levels, and hormonal imbalances can affect the regularity of the menstrual cycle. Therefore, even if the hymen has ruptured, menstruation can still occur as long as the hormonal balance is maintained.

In your case, since you mentioned that your period is late by almost two weeks and you have taken pregnancy tests that have come back negative, it is essential to consider other factors that could be affecting your menstrual cycle. Stress, anxiety, significant changes in lifestyle, or even illness can lead to a delayed period. Additionally, some women experience irregular cycles, especially in their late teens and early twenties, as their bodies are still adjusting to hormonal changes.

Regarding your observation of white discharge, this can be a normal part of the menstrual cycle. Vaginal discharge can vary in consistency and color throughout the cycle, and it is often more pronounced during ovulation or before menstruation. If the discharge is not accompanied by any unusual symptoms such as itching, burning, or a strong odor, it is typically not a cause for concern.

As for your question about having a child, while it is biologically possible to conceive once you have started menstruating, it is crucial to consider your emotional, physical, and financial readiness for parenthood. The age of 18 is legally considered adulthood in many places, but the decision to have a child is significant and should be made with careful consideration of your circumstances and future plans.

If your period does not arrive soon or if you have concerns about your menstrual health, it would be wise to consult a healthcare provider. They can offer personalized advice, conduct necessary examinations, and help determine if there are any underlying issues that need to be addressed. Remember, maintaining open communication with a healthcare professional can provide you with the support and information you need regarding your reproductive health.

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