Hymen = Virgin Membrane
Hymen and Medicine
The hymen and examining the pelvic organs
In patients with an intact hymen, the examination of the anterior wall of the rectum by the rectal-abdominal technique is the usual method of examining the pelvic organs.
The rectal-abdominal pelvic examination aka bimanual exam (rectal) does not interfere with the wholeness of the hymen,
Only on very rare occasions when visualisation of the cervix in a virgin is needed (the annual physical by no means is such an occasion), a special procedure must be employed with use of a vaginal endoscope.
On not uncommon occasions when removal of a foreign body from the vagina of a virgin is needed, a Collin vaginal speculum (width 10 mms) or Collin-Landau vaginal speculum (width 16 to 20 mms) should be used carefully not to add iatrogenic hymenal injuries to the ones which were caused by her unwise curiosity, or false ideas on female masturbation.
N.B. An embarrassed and totally scared patient cannot be trusted in regards to the type, size, and amount of objects which have been inserted and left inside her body because of being unremovable, broken in pieces, or forgotten.
Therefore a thorough inspection of the vagina in many cases may end in substantial stretching the hymen or even lacerating its edges so badly that finally it looks like deflorated.
To make sure that the patient will not lose her best marital opportunities in the future, a detailed medical certificate must be issued with clear explanation why for the sake of saving the patient's health and even life the integrity of the hymen has been sacrificed.
To avoid possible fraud in this area those who care about the bride's hymen can consult a proffesional consultant in the due time for detectable signs which could confirm or deny the medical certificate from the past issued by an uknown doctor.